Miss Preata Lenae Jackson, RN - Registered Nurse in Victorville, CA

Miss Preata Lenae Jackson, RN is a Registered Nurse - Maternal Newborn based in Victorville, California. Miss Preata Lenae Jackson is licensed to practice in California (license number 704221) and her current practice location is 17016 Jurassic Pl, Victorville, California. She can be reached at her office (for appointments etc.) via phone at (760) 596-1033.

NPI number for Miss Preata Lenae Jackson is 1912159047 and her current mailing address is 17016 Jurassic Pl, Victorville, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912159047.

Contact Information

Miss Preata Lenae Jackson, RN
17016 Jurassic Pl,
Victorville, CA 92394-7723
(760) 596-1033
(760) 596-1033

Map and Direction




Provider's Profile

Full NameMiss Preata Lenae Jackson
GenderFemale
SpecialityRegistered Nurse - Maternal Newborn
Location17016 Jurassic Pl, Victorville, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1912159047
  • Provider Enumeration Date: 10/21/2008
  • Last Update Date: 10/21/2008

Medical Identifiers

Medical identifiers for Miss Preata Lenae Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912159047NPI-NPPES
704221OtherCACALIFORNIA BOARD OF NURSING

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WM0102XRegistered Nurse - Maternal Newborn 704221 (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. Miss Preata Lenae Jackson 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 AddressPractice Location Address
Miss Preata Lenae Jackson, RN
17016 Jurassic Pl,
Victorville, CA 92394-7723

Ph: (760) 596-1033
Miss Preata Lenae Jackson, RN
17016 Jurassic Pl,
Victorville, CA 92394-7723

Ph: (760) 596-1033

Reviews and Comments


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