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Desha Owanna Jackson, CMA,LVN
Licensed Vocational Nurse in Los Angeles, California
NPI 1881989796

Desha Owanna Jackson is a Licensed Vocational Nurse based in Inglewood, CA. Desha Owanna Jackson practices in Los Angeles, CA and has the professional credentials of CMA,LVN. The NPI Number for Desha Owanna Jackson is 1881989796 and holds a License No. 258755 (California).

The current practice location address for Desha Owanna Jackson is 1520 W 68Th St, Los Angeles, CA and can be reached out via phone at 323-497-9583.

Location: 1520 W 68Th St, Los Angeles, CA, 90301-2405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881989796
Provider Name
Desha Owanna Jackson
Credential
CMA,LVN
Provider Entity Type
Individual
Gender
Female
Address
1520 W 68Th St, Los Angeles, CA, 90301-2405
Phone Number
323-497-9583
Fax Number
Provider Enumeration Date
06/20/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1520 W 68Th St
City
Los Angeles
State
California
Zip
90047-2021
Phone Number
323-497-9583
Fax Number
person
Provider Business Mailing Address Details
Address
1520 W 68Th St
City
Los Angeles
State
California
Zip
90047-2021
Phone Number
323-497-9583
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
258755 (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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