Provider Demographics
NPI:1730948530
Name:QUIGLEY, JACQUALENE N (NP)
Entity type:Individual
Prefix:
First Name:JACQUALENE
Middle Name:N
Last Name:QUIGLEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5609 114TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-6985
Mailing Address - Country:US
Mailing Address - Phone:806-589-1778
Mailing Address - Fax:806-589-1779
Practice Address - Street 1:5609 114TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-6985
Practice Address - Country:US
Practice Address - Phone:806-589-1778
Practice Address - Fax:806-589-1779
Is Sole Proprietor?:No
Enumeration Date:2024-03-15
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1144669363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily