Sparks, Jacqueline Marie

Sparks, Jacqueline Marie is an sole proprietor health care provider with primary practice located at 1387 Lewellyn Dr , Laguna Beach CA 92651-1132. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Licensed Vocational Nurse. Nursing Service Providers / Licensed Vocational Nurse is her primary health care specialty. Sparks, Jacqueline Marie can be contacted via phone (949) 514-9379.

Contact Information

Primary practice address
1387 Lewellyn Dr Laguna Beach CA 92651-1132
Phone: (949) 514-9379
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN069104L Pennsylvania
Nursing Service Providers / Licensed Vocational Nurse 164X00000X VN215416 California

Profile Details

NPI number 1992020556
LBN Legal business name Sparks, Jacqueline Marie
Credentials Licensed Visiting Nurse (LVN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2010
Last updated Dec 23rd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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