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STEVE RAY JACKSON NPI 1447924501


NPI Information

NPI: 1447924501
Provider Name: STEVE RAY JACKSON
Classification: Licensed Vocational Nurse - 164X00000X
Entity Type: Individual
Address:
1212 N CALIFORNIA ST
STOCKTON, CA
ZIP 95202
Phone: (209) 468-0103
Get Directions

Steve Ray Jackson is a licensed vocational nurse in Stockton, CA. The provider is a licensed vocational nurse 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. Steve Ray Jackson NPI is 1447924501. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1212 N CALIFORNIA ST
STOCKTON, CA
ZIP 95202-552
Phone: (209) 468-0103

The enumeration date for this NPI number is 8/3/2021 and was last updated on 8/3/2021.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1164X00000XLicensed Vocational Nurse716529CALIFORNIAYes

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: 5/5/2024

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.