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

Jaqueline Phomsouvandara

Individual provider Nurse's Aide · NPI 1619798022

Jaqueline Phomsouvandara is a Nurse's Aide in Laughlin, Nevada. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

3100 S Needles Hwy Ste 600
Laughlin, NV 89029-0815
Phone: (801) 485-6166
Show map & directions

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

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X

Record details

NPI number1619798022
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedOctober 18, 2024
Last updated in NPPESOctober 18, 2024
Certification dateOctober 18, 2024

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