Thames, Jacqueline Ann

Thames, Jacqueline Ann is an individual health care provider with primary practice located at 2250 N 1700 W , Layton UT 84041-1140. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Thames, Jacqueline Ann can be contacted via phone (801) 779-3001.

Contact Information

Primary practice address
2250 N 1700 W Layton UT 84041-1140
Phone: (801) 779-3001
Fax: (801) 774-6100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 4815152-3101 Utah

Profile Details

NPI number 1417103060
LBN Legal business name Thames, Jacqueline Ann
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2008
Last updated Aug 14th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417103060 NPPES
Utah MEDICAID 870430116009

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