Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKLYN CORINE DEGRAY
Active Sole ProprietorJACKLYN CORINE DEGRAY is a Licensed Vocational Nurse healthcare provider located in LOOMIS, California. NPI 1437798477 is currently active in the NPPES registry. Verify at CMS.
Licensed Vocational Nurse · LOOMIS, CA
Registration Details
- NPI Number
- 1437798477
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 21, 2019 (6.6945310286049 yrs)
- Last Updated
- Dec 21, 2019
- License
-
VN276810 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5662 ANGELO DRLOOMIS, CA, 956508729Browse CA providers · Browse ZIP 95650
- Phone
- 9168490055
- Primary Specialty
-
Licensed Vocational Nurse
164X00000X
Other Licensed Vocational Nurse Providers in LOOMIS, CA
| Name | Credential | NPI |
|---|---|---|
| CARSON FRANK BOHRER | — | 1811291628 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.