MS. VERNETTA O JACKSON (NPI# 1497279806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497279806 |
| Entity Type | Individual |
| Full Name | MS. VERNETTA O JACKSON |
| Other Name | VAN JACKSON |
| Credential | RN,BS,CCM |
| Practice Address |
4121 W 62nd St Los Angeles CA 90043-3612 |
| Mailing Address |
4121 W. 62nd St Los Angeles CA 90043 |
| Practice Telephone | (323) 620-0507 |
| Mailing Telephone | 3236200507 |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2017-07-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
375590 | CA | Nursing Service Providers |
| Street Address |
4121 W 62ND ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90043-3612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841772209 | Ichizo Yamada | Counselor | 5318 S Crenshaw Blvd., Los Angeles, CA 90043 | 2018-09-02 |
| 1568961613 | Marnelle Mascardo | Counselor | 5318 S. Crenshaw Blvd., Los Angeles, CA 90043 | 2018-02-05 |
| 1700315199 | Positive Imagery Foundation | Prevention Professional | 5906 7th Avenue, Suite 1, Los Angeles, CA 90043 | 2017-06-08 |
| 1770946303 | Toby Lapesarde | Licensed Vocational Nurse | 5300 Angeles Vista Boulevard, Los Angeles, CA 90043 | 2016-03-31 |
| 1134591480 | Coast Wise Solution | Case Management | 2728 54th St, Los Angeles, CA 90043 | 2015-10-27 |
| 1033589155 | Nina Gonzaga | Marriage & Family Therapist | 4401 Crendshaw Blvd, #300, Los Angeles, CA 90043 | 2015-10-01 |
| 1861743189 | Donna M. Tizenor-tate | Counselor | 5300 Angeles Vista Blvd., Los Angeles, CA 90043 | 2012-09-26 |
| 1952657736 | Willie Frank Sibley Jr. | General Practice | 4330 Monteith Dr, Los Angeles, CA 90043 | 2012-07-30 |
| 1639449119 | Nelson M Okeke | Counselor | 8814 S. Western Ave, La, CA 90043 | 2011-12-30 |
| 1578840799 | Economic Services, Incorporated | Exclusive Provider Organization | 5144 Crenshaw Blvd., Los Angeles, CA 90043 | 2011-11-16 |
| Find all providers in zip 90043 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710541610 | Dominique Antoinette Martin | Registered Nurse | 1542 W 125th St, Los Angeles, CA 90047-5329 | 2019-04-25 |
| 1912493016 | Lizzeth Romero | Registered Nurse | 12012 Compton Ave Fl 4, Los Angeles, CA 90059-2957 | 2018-07-02 |
| 1821585571 | Michelle Violet Starling | Registered Nurse | 12012 Compton Ave, Los Angeles, CA 90059-2957 | 2018-04-18 |
| 1588180954 | Dalila Elvira Ruiz | Registered Nurse | 1701 Cesar Chavez Avenue, Los Angeles, CA 90033 | 2017-08-17 |
| 1730582248 | Monica Flores | Registered Nurse | 600 South Commonwealth Avenue, Los Angeles, CA 90006 | 2014-09-29 |
| 1710257803 | Jessica Nayelli Oregel | Registered Nurse | 701 W Cesar Chavez Ave Ste 201, Los Angeles, CA 90012-2185 | 2012-01-05 |
| 1386921724 | Valerie A Lacy | Registered Nurse | 600 S Commonwealth Ave Fl 8, Los Angeles, CA 90005-4001 | 2011-11-14 |
| 1265610026 | Evelyn Espinoza | Registered Nurse | 600 S Commonwealth Ave Ste 800, Los Angeles, CA 90005-4018 | 2008-02-04 |
| 1497355366 | Adrienne Elaine Bawa | Registered Nurse | 200 Medical Plaza, Los Angeles, CA 90095-0001 | 2020-10-29 |
| 1104425867 | Bonnie Ruth Santillo | Registered Nurse | 701 W Cesar E Chavez Ave, Los Angeles, CA 90012-2104 | 2020-10-22 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90043 |
Please comment or provide details below to improve the information on MS. VERNETTA O JACKSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.