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MS. TSELANE EDINA JACKOSN LVN NPI 1215062435


NPI Information

NPI: 1215062435
Provider Name: MS. TSELANE EDINA JACKOSN, LVN
Classification: Licensed Vocational Nurse - 164X00000X
Entity Type: Individual
Address:
10620 SUNBURST DR
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (909) 944-3042
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MS. Tselane Edina Jackosn, LVN is a licensed vocational nurse in Rancho Cucamonga, CA. The provider is 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. MS. Tselane Edina Jackosn, LVN NPI is 1215062435. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10620 SUNBURST DR
RANCHO CUCAMONGA, CA
ZIP 91730-309
Phone: (909) 944-3042
Fax: (909) 944-3042

The enumeration date for this NPI number is 2/21/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1164X00000XLicensed Vocational Nurse215086CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1EPS016200MEDICAIDCALIFORNIA
2RVN004350MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.