Individual provider · Type 1 NPI

Jacqueline Roque

Licensed Vocational Nurse · Garden Grove, CA

NPI number 1093060220 Active

Practice location

12141 Brookhurst St Ste 201
Garden Grove, CA 92840-2865

Call (657) 261-7140 Map

Fax (714) 922-1032

Other practice locations

  • 1774 Zonal Ave Bldg C, Los Angeles, CA 90033-1064 · (310) 221-6336

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X222317 (CA)

Licensed Vocational Nurse: 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1093060220

Jacqueline Roque's National Provider Identifier is 1093060220, issued on Jul 13, 2012. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Garden Grove, CA. The record was last updated on Sep 30, 2026.