Individual
MS. JACQUELINE FRANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
700 LAWRENCE EXPRESSWAY, SANTA CLARA, CA 95051
(559) 459-6000
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN611132
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
NA2942
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA0029420
BLUE SHIELD OF CA
CA
01
—
P00412646
RAILROAD MEDICARE
CA
05
—
RN0029420
—
CA
Enumeration date
10/27/2006
Last updated
01/06/2022
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