IndividualActive
Jacquelyn Blackstone, DO
NPI 1023168358 · Maternal & Fetal Medicine Physician · Albuquerque, NM
Provider details
- NPI number
- 1023168358
- Entity type
- Individual
- Primary specialty
- Maternal & Fetal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- A-1954-16 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4701 Montgomery Blvd Ne
Albuquerque, NM 87109-1219
Phone: (505) 727-6853
Approximate (ZIP-level) locationGet directions
Mailing address
4101 Indian School Rd Ne Ste 110
Albuquerque, NM 87110-3991
Additional practice locations (1)
- 2211 Lomas Blvd NeAlbuquerque, NM 87106-2719Phone: (505) 272-3120Fax: (505) 272-8060
Registry dates
- Enumerated
- 2007-01-11
- Last updated
- 2025-10-29
- Certified
- 2025-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.