Provider Demographics
NPI:1437227303
Name:MEEKS, JARROD WILLIAM (LVN, WCC)
Entity type:Individual
Prefix:MR
First Name:JARROD
Middle Name:WILLIAM
Last Name:MEEKS
Suffix:
Gender:M
Credentials:LVN, WCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45120 DESERT FOX DR
Mailing Address - Street 2:
Mailing Address - City:LA QUINTA
Mailing Address - State:CA
Mailing Address - Zip Code:92253-4552
Mailing Address - Country:US
Mailing Address - Phone:760-409-5568
Mailing Address - Fax:760-888-9329
Practice Address - Street 1:45120 DESERT FOX DR
Practice Address - Street 2:
Practice Address - City:LA QUINTA
Practice Address - State:CA
Practice Address - Zip Code:92253-4552
Practice Address - Country:US
Practice Address - Phone:760-409-5568
Practice Address - Fax:760-888-9329
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN206909164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse