Individual
JACQUALENE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
805 N WINSTON AVE, LUBBOCK, TX 79416-1256
(806) 559-4663
Mailing address
805 N WINSTON AVE, LUBBOCK, TX 79416-1256
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
112896
TX
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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