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Nicole Yvonne Jackson, LPN
Licensed Vocational Nurse in San Bernardino, California
NPI 1609405539

Nicole Yvonne Jackson is a Licensed Vocational Nurse based in San Bernardino, CA. Nicole Yvonne Jackson practices in San Bernardino, CA and has the professional credentials of LPN. The NPI Number for Nicole Yvonne Jackson is 1609405539 and holds a License No. 33217 (California).

The current practice location address for Nicole Yvonne Jackson is 349 W 11Th St, San Bernardino, CA and can be reached out via phone at 093-813-7749.

Location: 349 W 11Th St, San Bernardino, CA, 92410-3524
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609405539
Provider Name
Nicole Yvonne Jackson
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
349 W 11Th St, San Bernardino, CA, 92410-3524
Phone Number
093-813-7749
Fax Number
Provider Enumeration Date
04/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
349 W 11Th St
City
San Bernardino
State
California
Zip
92410-3513
Phone Number
093-813-7749
Fax Number
person
Provider Business Mailing Address Details
Address
349 W 11Th St
City
San Bernardino
State
California
Zip
92410-3513
Phone Number
093-813-7749
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
VN722850 (California)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
33217 (Ohio)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
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