Provider Demographics
NPI:1326886631
Name:BABBITT, JACQUELINE KANE (HEALTH COACH)
Entity type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:KANE
Last Name:BABBITT
Suffix:
Gender:F
Credentials:HEALTH COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9711 WILSHIRE AVE NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87122-3031
Mailing Address - Country:US
Mailing Address - Phone:505-328-3298
Mailing Address - Fax:505-596-7774
Practice Address - Street 1:9711 WILSHIRE AVE NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87122-3031
Practice Address - Country:US
Practice Address - Phone:505-328-3298
Practice Address - Fax:505-596-7774
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-19
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach