Provider Demographics
NPI:1699242909
Name:SANCHEZ, JACQLYN CATHERINE ANN (ARNP)
Entity type:Individual
Prefix:
First Name:JACQLYN
Middle Name:CATHERINE ANN
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:JACQLYN
Other - Middle Name:CATHERINE ANN
Other - Last Name:PAHSSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:112 MAVERICK CT
Mailing Address - Street 2:
Mailing Address - City:GRANBURY
Mailing Address - State:TX
Mailing Address - Zip Code:76049-1381
Mailing Address - Country:US
Mailing Address - Phone:210-388-7638
Mailing Address - Fax:
Practice Address - Street 1:112 MAVERICK CT
Practice Address - Street 2:
Practice Address - City:GRANBURY
Practice Address - State:TX
Practice Address - Zip Code:76049-1381
Practice Address - Country:US
Practice Address - Phone:210-388-7638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-25
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP139395363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health