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AUSTIN JACQUILLARD
NPI 1669287835
Licensed Vocational Nurse in Clearlake, CA

Active since February 12, 2025
15145 LAKESHORE DR, CLEARLAKE, CA 95422(707) 995-7200 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Austin Jacquillard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUSTIN JACQUILLARD (NPI 1669287835) is an individual licensed vocational nurse in Clearlake, California, licensed in Texas (337535) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1669287835
Entity TypeIndividualMale
Primary Taxonomy164X00000X
Provider Legal NameAUSTIN JACQUILLARD
Location Address15145 LAKESHORE DRClearlake, CA 95422-8106
Mailing Address98-703 Iho Pl, Bldg 1 Apt 703Aiea, HI 96701 · (559) 367-8213
Phone(707) 995-7200
Sole ProprietorNo
Enumeration DateFebruary 12, 2025
NPPES CertifiedFebruary 12, 2025
✔ NPI 1669287835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in TX · 337535
Definition
A licensed vocational nurse 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 responsibilities vary among the states.
15145 LAKESHORE DR, Clearlake, CA 95422
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VOLODYMYR KARPA M.D.
Psychiatry & Neurology (Psychiatry)
15145 LAKESHORE DR
CLEARLAKE, CA 95422
Lake County (707) 995-7200
SAN FRANCISCO VAMC
Clinic/Center (VA)
15145 LAKESHORE DR
CLEARLAKE, CA 95422
Lake County (702) 341-3020
JUSTIN LEE LINDSEY
Registered Nurse (Ambulatory Care)
15145 LAKESHORE DR
CLEARLAKE, CA 95422
Lake County (707) 955-7231
DR. BARBARA J HARROLD PHD
Marriage & Family Therapist
15145 LAKESHORE DR
CLEARLAKE, CA 95422
Lake County (406) 995-7200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Austin Jacquillard's NPI number?

The NPI number for Austin Jacquillard is 1669287835. It was assigned to this individual provider in the NPPES registry on February 12, 2025.

Where is Austin Jacquillard located?

Austin Jacquillard practices at 15145 Lakeshore Dr, Clearlake, CA 95422. The listed phone number is (707) 995-7200.

What is Austin Jacquillard's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Austin Jacquillard was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.