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JACLYN MICHELLE FIKE-TAVERAS AGACNP
NPI 1679347975
Nurse Practitioner - Acute Care in El Paso, TX

Active since November 08, 2023
6004 BALCONES CT, EL PASO, TX 79912(662) 202-6485 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jaclyn Michelle Fike-taveras Agacnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACLYN MICHELLE FIKE-TAVERAS AGACNP (NPI 1679347975) is an individual acute care provider in El Paso, Texas, licensed in Texas (1140696) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1679347975
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJACLYN MICHELLE FIKE-TAVERASCredential: AGACNP
Location Address6004 BALCONES CTEl Paso, TX 79912-3319
Mailing Address6004 Balcones CtEl Paso, TX 79912-3319 · (662) 202-6485
Phone(662) 202-6485
Sole ProprietorNo
Enumeration DateNovember 8, 2023
NPPES CertifiedNovember 8, 2023
✔ NPI 1679347975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in TX · 1140696
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 1140696 (TX)
6004 BALCONES CT, El Paso, TX 79912
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaclyn Fike-taveras's NPI number?

The NPI number for Jaclyn Fike-taveras is 1679347975. It was assigned to this individual provider in the NPPES registry on November 8, 2023.

Where is Jaclyn Fike-taveras located?

Jaclyn Fike-taveras practices at 6004 Balcones Ct, El Paso, TX 79912. The listed phone number is (662) 202-6485.

What is Jaclyn Fike-taveras's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Jaclyn Fike-taveras was last updated on November 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.