Search › Arizona › 175F00000X
Jacqueline Poulos, N.M.D
NPI 1336418623 · on the registry since 2011 · sole proprietor
Practice
- Address
- 211 Grove Ave
Prescott, AZ 86301 - Phone
- (928) 774-1332
- Fax
- (928) 774-0042
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 175F00000X
175F00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona