Individual provider · Type 1 NPI

Austin Jacquillard

Licensed Vocational Nurse · Clearlake, CA

NPI number 1669287835 Active

Practice location

15145 Lakeshore Dr
Clearlake, CA 95422-8106

Call (707) 995-7200 Map

Mailing address

98-703 Iho Pl, Bldg 1 Apt 703
Aiea, HI 96701

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X337535 (TX)

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 1669287835

Austin Jacquillard's National Provider Identifier is 1669287835, issued on Feb 12, 2025. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Clearlake, CA. The record was last updated on Feb 12, 2025.