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

Mrs. Jacqueline Lea Agenbroad, NP

Individual provider Nurse Practitioner · NPI 1447222328

Mrs. Jacqueline Lea Agenbroad, NP is a Nurse Practitioner in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

1300 N 12th St Ste 407
Phoenix, AZ 85006-2848
Phone: (602) 239-6762
Fax: (602) 239-5112
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence NP290 (AZ)
Nurse Practitioner Taxonomy 363L00000X · Licence RN097748 (AZ)

Record details

NPI number1447222328
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 3, 2006
Last updated in NPPESJune 12, 2008

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