Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Alisia Violet Bennett, RN

Individual provider Registered Nurse · NPI 1619830619

Jacqueline Alisia Violet Bennett, RN is a Registered Nurse in Gallup, New Mexico. Licensed in New Mexico. Registered with an NPI since 2025.

Licensed in
NM
In the registry since
2025
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

345 Basileo Dr
Gallup, NM 87301-4655
Phone: (505) 721-1800
Fax: (505) 721-1899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 64532 (NM)

Record details

NPI number1619830619
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedDecember 5, 2025
Last updated in NPPESDecember 5, 2025
Certification dateDecember 5, 2025

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