MISS PORTIA MONIQUE JACKSON (NPI# 1619496049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619496049 |
| Entity Type | Individual |
| Full Name | MISS PORTIA MONIQUE JACKSON |
| Credential | LVN |
| Practice Address |
1022 Sunbrook Dr. San Bernardino CA 92407 |
| Mailing Address |
177 E. Lynwood Dr. F206 San Bernardino CA 92404 |
| Practice Telephone | 3107661838 |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2017-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 272565 | CA | Nursing Service Providers |
| Street Address |
1022 SUNBROOK DR. |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639789233 | Luis Enrique Macias | Case Manager/Care Coordinator | 26967 Beaumont Ave., Redlands Ca 92373, San Bernardino, CA 92407 | 2020-08-07 |
| 1619526209 | Louise E Curran | Social Worker | 6395 N Azalea Ave, San Bernardino, CA 92407 | 2019-09-06 |
| 1568988467 | Jon Michael Hensley | Behavior Technician | 1638 Windsor Street, San Bernardino, CA 92407 | 2017-08-22 |
| 1063933349 | Priority Rounds Transport, L.l.c | Non-emergency Medical Transport (VAN) | 18245 Evening Primrose Ln, San Bernardino, CA 92407 | 2017-06-27 |
| 1760927263 | Denkorach Inc | In Home Supportive Care | 1265 Kendall Drive, Unit 1614, San Bernardino, CA 92407 | 2016-12-20 |
| 1558606517 | Pradeep Amin | Pharmacist | 4150 N Sierra Way, San Bernardino, CA 92407 | 2012-12-03 |
| 1811231384 | Lucindy Thomasina Fuller | Rehabilitation Practitioner | 1265 Kendall Dr, San Bernardino, CA 92407 | 2012-11-21 |
| 1578793337 | Shareela Marie Allen | Social Worker | 6791 N. Ofeila Drive, San Bernardino, CA 92407 | 2009-07-15 |
| 1720239304 | Alejandro Paul Holguin | Social Worker | 6076 Norma Ln, San Bernardino, CA 92407 | 2008-10-01 |
| 1497829816 | Lesly G Thomas | Dentist | 4434 University Pkwy, Suite G, San Bernadino, CA 92407 | 2006-11-17 |
| Find all providers in zip 92407 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| 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. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790291839 | Leilin Elizabeth Briscoe | Licensed Vocational Nurse | 1173 N D St, San Bernardino, CA 92410-3523 | 2017-12-27 |
| 1356705289 | Mary Rios-castorena | Licensed Vocational Nurse | 1216 W 23rd St, San Bernardino, CA 92405-3020 | 2016-04-06 |
| 1982073789 | Monique Sheree Platt | Licensed Vocational Nurse | 2606 Birch Street, San Bernardino, CA 92410-1918 | 2015-09-22 |
| 1548638927 | Ashley Bishop | Licensed Vocational Nurse | 4495 Bronson St, San Bernardino, CA 92407-6811 | 2015-09-02 |
| 1669879284 | Cristina Flores | Licensed Vocational Nurse | 4835 N F St, San Bernardino, CA 92407-3122 | 2014-11-25 |
| 1497151468 | Estrellita Munoz | Licensed Vocational Nurse | 2080 South E Street, San Bernardino, CA 92408 | 2014-11-18 |
| 1407267230 | Michelle Underwood | Licensed Vocational Nurse | 1045 W Olive St, San Bernardino, CA 92411-2323 | 2014-05-14 |
| 1740582337 | Jessika Leigh Beach | Licensed Vocational Nurse | 845 W 56th St, San Bernardino, CA 92407-5301 | 2010-12-02 |
| 1841508835 | Jacqlyn Tamara Jamerson | Licensed Vocational Nurse | 357 W 44th St, #8, San Bernardino, CA 92407-3646 | 2010-09-23 |
| 1477861615 | Veronica Rochelle Johnson | Licensed Vocational Nurse | 1265 Kendall Dr Apt 6212, San Bernardino, CA 92407-4109 | 2010-09-22 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92407 |
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| 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.