Nicole Yvonne Jackson, LPN | |
349 W 11th St, San Bernardino, CA 92410-3513 | |
(093) 813-7749 | |
Not Available |
Full Name | Nicole Yvonne Jackson |
---|---|
Gender | Female |
Speciality | Licensed Vocational Nurse |
Location | 349 W 11th St, San Bernardino, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609405539 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 33217 (Ohio) | Secondary |
164X00000X | Licensed Vocational Nurse | VN722850 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Nicole Yvonne Jackson, LPN 1100 N D St, San Bernardino, CA 92410-3524 Ph: (330) 212-8117 | Nicole Yvonne Jackson, LPN 349 W 11th St, San Bernardino, CA 92410-3513 Ph: (093) 813-7749 |
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