Individual
MS. JACQUELYN MCQUAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
500 W HOSPITAL RD, FRENCH CAMP, CA 95231-9693
(209) 468-6600
(209) 468-7042
Mailing address
PO BOX 1020, STOCKTON, CA 95201-3120
(209) 468-6600
(209) 468-7042
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
535177
CA
363L00000X
Nurse Practitioner
Primary
17586
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17586
PROFESSIONAL LICENSE
CA
Enumeration date
01/15/2008
Last updated
12/30/2021
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