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Miss Portia Monique Jackson, LVN
Licensed Vocational Nurse in San Bernardino, California
NPI 1619496049

Portia Monique Jackson is a Licensed Vocational Nurse based in San Bernardino, CA. Portia Monique Jackson practices in San Bernardino, CA and has the professional credentials of LVN. The NPI Number for Portia Monique Jackson is 1619496049 and holds a License No. 272565 (California).

The current practice location address for Portia Monique Jackson is 1022 Sunbrook Dr., San Bernardino, CA and can be reached out via phone at 310-766-1838.

Location: 1022 Sunbrook Dr., San Bernardino, CA, 92404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619496049
Provider Name
Portia Monique Jackson
Credential
LVN
Provider Entity Type
Individual
Gender
Female
Address
1022 Sunbrook Dr., San Bernardino, CA, 92404
Phone Number
310-766-1838
Fax Number
Provider Enumeration Date
09/18/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1022 Sunbrook Dr.
City
San Bernardino
State
California
Zip
92407
Phone Number
310-766-1838
Fax Number
person
Provider Business Mailing Address Details
Address
1022 Sunbrook Dr.
City
San Bernardino
State
California
Zip
92407
Phone Number
310-766-1838
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
272565 (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. [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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