Jada Marie Krueger, is a
Licensed Vocational Nurse based in Pollock Pines, California. Jada Marie Krueger is licensed to practice in California (license number 235805) and her current practice location is
5031 Shooting Star Rd, Pollock Pines, California. She can be reached at her office (for appointments etc.) via phone at
(760) 666-0869.
NPI number for Jada Marie Krueger is 1679422281 and her current mailing address is 5031 Shooting Star Rd, Pollock Pines, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679422281.
Provider's Profile
| Full Name | Jada Marie Krueger |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Vocational Nurse |
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| Location | 5031 Shooting Star Rd, Pollock Pines, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679422281
- Provider Enumeration Date: 01/26/2026
- Last Update Date: 01/26/2026
Medical Identifiers
Medical identifiers for Jada Marie Krueger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1679422281 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164X00000X | Licensed Vocational Nurse | 235805 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jada Marie Krueger is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jada Marie Krueger, 5031 Shooting Star Rd, Pollock Pines, CA 95726-9447 Ph: (760) 666-0869 | Jada Marie Krueger, 5031 Shooting Star Rd, Pollock Pines, CA 95726-9447 Ph: (760) 666-0869 |
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