Healthcare Provider Details

I. General information

NPI: 1841127453
Provider Name (Legal Business Name): JACQUELINE LORRAINE FRANCO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 8TH ST
ARCATA CA
95521-5770
US

IV. Provider business mailing address

1275 8TH ST
ARCATA CA
95521-5770
US

V. Phone/Fax

Practice location:
  • Phone: 707-826-8633
  • Fax: 707-826-6838
Mailing address:
  • Phone: 707-826-8633
  • Fax: 707-826-6838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number810115
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: