Individual
JACLYN FONES ROCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2767 OLIVE HWY, OROVILLE, CA 95966-6118
(530) 533-8500
(530) 532-8370
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
L1-0030081
DE
367500000X
Certified Registered Nurse Anesthetist
Primary
NA95000163
CA
Other
Enumeration date
06/05/2008
Last updated
07/31/2019
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