Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Austin Jacquillard

Individual provider Licensed Vocational Nurse · NPI 1669287835

Austin Jacquillard is a Licensed Vocational Nurse in Clearlake, California. Licensed in Texas. Registered with an NPI since 2025.

Licensed in
TX
In the registry since
2025

Practice location Address checks out

15145 Lakeshore Dr
Clearlake, CA 95422-8106
Phone: (707) 995-7200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 337535 (TX)

Record details

NPI number1669287835
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 12, 2025
Last updated in NPPESFebruary 12, 2025
Certification dateFebruary 12, 2025
Mailing address98-703 Iho Pl, Bldg 1 Apt 703, Aiea, HI 96701

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