Jacqueline Ann Thames in Bountiful - Licensed Practical Nurse
Jacqueline Ann Thames - NPI 1417103060
Jacqueline Ann Thames is a Licensed Practical Nurse in Bountiful, Utah. Jacqueline Ann Thames practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Jacqueline Ann Thames is 1417103060. The last update date is 2008-08-14.
Jacqueline Ann Thames's current location address is Po Box 460, Bountiful, Utah. You can contact this provider via phone number 8017793001 and fax number 8017746100. The mailing address for Jacqueline Ann Thames is Po Box 460, Bountiful, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline Ann Thames |
|---|---|
| Address | Po Box 460, Bountiful, Utah |
| Phone Number | 8017793001 |
| Fax Number | 8017746100 |
| Sole Proprietor | N |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1417103060 |
|---|---|
| Provider Enumeration Date | 2008-08-14 |
| Last Updated Date | 2008-08-14 |
Provider Mailing Address Detail
| Address | Po Box 460 |
|---|---|
| City | Bountiful |
| State | Utah (UT) |
| Post Code | 840110460 |
| Phone Number | 8017793001 |
| Fax Number | 8017746100 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 4815152-3101 |
|
Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 870430116009 | UT | -- |
Post Comment/ Review Below
What is the Jacqueline Ann Thames's 1417103060?
The Jacqueline Ann Thames's NPI (National Provider Identifier) Number is 1417103060. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jacqueline Ann Thames?
The Jacqueline Ann Thames is physically situated at Po Box 460, in the city of Bountiful, state of UT, with the postal code 840110460.
What is the Jacqueline Ann Thames's area of specialization and corresponding taxonomy classification?
The Jacqueline Ann Thames's specialty field is Licensed Practical Nurse, and it falls under the taxonomy code 164W00000X, which categorizes healthcare providers based on their specialties.
When did Jacqueline Ann Thames receive its 1417103060 assignment?
The Jacqueline Ann Thames was assigned its 1417103060 on 2008-08-14, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Jacqueline Ann Thames last refreshed?
The information related to the Jacqueline Ann Thames, including its address, specialty, and other relevant details, was last updated on 2008-08-14.
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