Provider Demographics
NPI:1497025563
Name:FIGARD, JACQUELINE KAY (LPN)
Entity Type:Individual
Prefix:MS
First Name:JACQUELINE
Middle Name:KAY
Last Name:FIGARD
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4030 CAMBRIA DR
Mailing Address - Street 2:APARTMENT 9
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-2290
Mailing Address - Country:US
Mailing Address - Phone:989-316-2562
Mailing Address - Fax:
Practice Address - Street 1:4030 CAMBRIA DR
Practice Address - Street 2:APARTMENT 9
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-2290
Practice Address - Country:US
Practice Address - Phone:989-316-2562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-06
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4703106542164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse