MEDICARE: JACQUELINE DARSHICA THOMPSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		IA

General Provider Information

NPI Number	:	1841153491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACQUELINE DARSHICA THOMPSON

Provider Business Mailing Address
First Line	:	515 W 61ST ST
Second Line	:
City	:	DAVENPORT
State	:	IA
Zip	:	52806-1902
Country	:	US
Telephone Number	:	563-726-3237
Fax Number	:

Provider Business Practice Location Address
First Line	:	515 W 61ST ST
Second Line	:
City	:	DAVENPORT
State	:	IA
Zip	:	52806-1902
Country	:	US
Telephone Number	:	563-726-3237
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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Directions to “ JACQUELINE DARSHICA THOMPSON ” Practice Location

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