IndividualActive
Jayne Lacy
NPI 1063187250 · Hospice Registered Nurse · Oakland, CA
Provider details
- NPI number
- 1063187250
- Entity type
- Individual
- Primary specialty
- Hospice Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 820767 (CA)
Specialties & taxonomies
Nursing Service Providers
Practice location
5707 Redwood Rd Ste 11
Oakland, CA 94619-2400
Phone: (312) 342-5638
Approximate (ZIP-level) locationGet directions
Mailing address
5707 Redwood Rd Ste 11
Oakland, CA 94619-2400
Registry dates
- Enumerated
- 2021-08-10
- Last updated
- 2021-08-10
- Certified
- 2021-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.