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JACKQULAINE DEANN SPENCER
NPI 1841996576
Pathology - Clinical Laboratory Director, Non-physician in Sachse, TX

Active since February 03, 2023
4901 MAPLE SHADE AVE, SACHSE, TX 75048(972) 997-5718 Get Directions Write a Review

NPPES record last updated: February 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackqulaine Deann Spencer NPPES

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

JACKQULAINE DEANN SPENCER (NPI 1841996576) is an individual clinical laboratory director, non-physician in Sachse, Texas and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1841996576
Entity TypeIndividualFemale
Primary Taxonomy247ZC0005X
Provider Legal NameJACKQULAINE DEANN SPENCER
Location Address4901 MAPLE SHADE AVESachse, TX 75048-4682
Mailing Address2100 14th St, Ste 107 #2047Plano, TX 75074 · (972) 997-5718
Phone(972) 997-5718
Sole ProprietorNo
Enumeration DateFebruary 3, 2023
NPPES CertifiedFebruary 3, 2023
✔ NPI 1841996576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Clinical Laboratory Director, Non-physicianTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247ZC0005X
Definition
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.
4901 MAPLE SHADE AVE, Sachse, TX 75048
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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 Jackqulaine Spencer's NPI number?

The NPI number for Jackqulaine Spencer is 1841996576. It was assigned to this individual provider in the NPPES registry on February 3, 2023.

Where is Jackqulaine Spencer located?

Jackqulaine Spencer practices at 4901 Maple Shade Ave, Sachse, TX 75048. The listed phone number is (972) 997-5718.

What is Jackqulaine Spencer's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

When was this NPI record last updated?

The NPPES record for Jackqulaine Spencer was last updated on February 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.