JACQUALENE PARKER


Address: 805 N Winston Ave, Lubbock, TX 79416-1256
Phone: 8065594663

JACQUALENE PARKER (NPI# 1760042642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760042642
Entity Type Individual
Full Name JACQUALENE PARKER
Credential RN
Practice Address 805 N Winston Ave
Lubbock
TX 79416-1256
Practice Telephone 8065594663
Enumeration Date 2019-06-13
Last Update Date 2019-06-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WH0200X Registered Nurse
Specialization: Home Health
112896 TX Nursing Service Providers

Office Location

Street Address 805 N WINSTON AVE
City LUBBOCK
State TX
Zip Code 79416-1256

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1821636481 Chieh-an Chou Specialist/Technologist 201 N Winston Ave, Lubbock, TX 79416 2019-12-13
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Taxonomy Information

Taxonomy Code 163WH0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Home Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1891333514 Onyinye Joy Ukelegharanya Registered Nurse 1303 82nd St, Lubbock, TX 79423-2387 2019-12-12
1811551179 Randall L Hayes Sr. Registered Nurse 1303 82nd St Ste 150, Lubbock, TX 79423-2766 2019-04-23
1346720158 Amy Christine Elmore Registered Nurse 5225 S Loop 289 Ste 210, Lubbock, TX 79424-1319 2018-08-21
1316447303 Armida Hollingsworth Registered Nurse 3708 20th St, Lubbock, TX 79410-1228 2018-02-15

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1013514595 Katelynn Bryant Registered Nurse 4001 Ross Ave Apt 156, Dallas, TX 75204-5256 2020-10-07
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1003423559 Jennifer Annette Davis Registered Nurse 330 Harvest Mdw, Temple, TX 76502-5060 2020-09-29
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Competitor

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City LUBBOCK
Zip Code 79416

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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