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:
Health care specialties
Specialty | Code | License # | 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 10 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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