Provider Demographics
NPI:1750917308
Name:REGALADO, JANDEE MARIE (CPNP-PC)
Entity type:Individual
Prefix:
First Name:JANDEE
Middle Name:MARIE
Last Name:REGALADO
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5700 SCHERTZ PKWY STE 140
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-1496
Mailing Address - Country:US
Mailing Address - Phone:210-566-1533
Mailing Address - Fax:810-202-7879
Practice Address - Street 1:5700 SCHERTZ PKWY STE 140
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-1496
Practice Address - Country:US
Practice Address - Phone:210-566-1533
Practice Address - Fax:810-202-7879
Is Sole Proprietor?:No
Enumeration Date:2020-03-16
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP145497363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics