Tselane Edina Jackosn in Rancho Cucamonga - Licensed Vocational Nurse
Tselane Edina Jackosn - NPI 1215062435
Tselane Edina Jackosn is a Licensed Vocational Nurse in Rancho Cucamonga, California. Tselane Edina Jackosn practices all healthcare services and medical treatments related to Licensed Vocational Nurse. The NPI Number for Tselane Edina Jackosn is 1215062435. The last update date is 2007-07-08.
Tselane Edina Jackosn's current location address is 10620 Sunburst Dr, Rancho Cucamonga, California. You can contact this provider via phone number 9099443042 and fax number 9099443042. The mailing address for Tselane Edina Jackosn is 10620 Sunburst Dr, Rancho Cucamonga, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tselane Edina Jackosn |
|---|---|
| Address | 10620 Sunburst Dr, Rancho Cucamonga, California |
| Phone Number | 9099443042 |
| Fax Number | 9099443042 |
| Sole Proprietor | Y |
| Credentials | LVN |
NPI Number Detail
| NPI Number | 1215062435 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10620 Sunburst Dr |
|---|---|
| City | Rancho Cucamonga |
| State | California (CA) |
| Post Code | 917306309 |
| Phone Number | 9099443042 |
| Fax Number | 9099443042 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Vocational Nurse |
|---|---|
| Taxonomy | 164X00000X |
| Licence No | 215086 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| RVN004350 | CA | -- | |
| EPS016200 | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Tselane Edina Jackosn by the Centers for Medicare & Medicaid Services?
The Tselane Edina Jackosn has been issued the NPI (National Provider Identifier) 1215062435. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Tselane Edina Jackosn's facilities are situated?
The facilities of Tselane Edina Jackosn are physically located at the following address: 10620 Sunburst Dr, Rancho Cucamonga, CA, 917306309.
What is Tselane Edina Jackosn's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tselane Edina Jackosn is Licensed Vocational Nurse, and the taxonomy code that categorizes this field of expertise is 164X00000X.
When did Tselane Edina Jackosn receive its 1215062435 assignment?
The Tselane Edina Jackosn was assigned its 1215062435 on 2007-02-21, which is the date when this unique identifier was issued to the organization.
When was the Tselane Edina Jackosn's information last updated?
The Tselane Edina Jackosn's information was last updated on 2007-07-08.