Individual provider · Type 1 NPI
Jackqulaine Deann Spencer
Clinical Laboratory Director (Non-physician) · Sachse, TX
NPI number
1841996576
Active
Practice location
4901 Maple Shade Ave
Sachse, TX 75048-4682
Mailing address
2100 14th St, Ste 107 #2047
Plano, TX 75074
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Laboratory Director (Non-physician) Primary | 247ZC0005X | None listed |
Clinical Laboratory Director (Non-physician): An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
About NPI 1841996576
Jackqulaine Deann Spencer's National Provider Identifier is 1841996576, issued on Feb 3, 2023. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Sachse, TX. The record was last updated on Feb 3, 2023.