Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jacqueline Rochelle Poulos, NMD

Individual provider Naturopath · NPI 1336418623

Dr. Jacqueline Rochelle Poulos, NMD is a Naturopath in Prescott, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2011
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Practice location Address checks out

211 Grove Ave
Prescott, AZ 86301-2911
Phone: (928) 774-1332
Fax: (928) 774-0042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Naturopath (primary) Taxonomy 175F00000X · Licence 11-1272 (AZ)

Record details

NPI number1336418623
Entity typeIndividual (Type 1)
GenderFemale
Credentials NMD
Sole proprietorYes
NPI enumeratedDecember 15, 2011
Last updated in NPPESOctober 5, 2025
Certification dateOctober 5, 2025

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