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LILLIA JACKSON NURSE
NPI 1013663285
Licensed Vocational Nurse in Modesto, CA

Active since February 26, 2022
1235 MCHENRY AVE STE AANDB, MODESTO, CA 95350(209) 527-4597 Get Directions Write a Review

NPPES record last updated: February 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lillia Jackson Nurse NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LILLIA JACKSON NURSE (NPI 1013663285) is an individual licensed vocational nurse in Modesto, California, licensed in California (VN264697) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1013663285
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameLILLIA JACKSONCredential: NURSE
Location Address1235 MCHENRY AVE STE AANDBModesto, CA 95350-5370
Mailing Address1235 Mchenry Ave Ste AandbModesto, CA 95350-5370 · (209) 527-4597
Phone(209) 527-4597
Sole ProprietorNo
Enumeration DateFebruary 26, 2022
NPPES CertifiedFebruary 26, 2022
✔ NPI 1013663285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · VN264697
Definition
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.
1235 MCHENRY AVE STE AANDB, Modesto, CA 95350
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOISES ALCANTARA
Counselor (Addiction (Substance Use Disorder))
1235 MCHENRY AVE STE AANDB
MODESTO, CA 95350
Stanislaus County (209) 527-4597
STEVEN FOX
Counselor (Addiction (Substance Use Disorder))
1235 MCHENRY AVE STE AANDB
MODESTO, CA 95350
Stanislaus County (209) 527-4597
FRANCES RIVERA
Counselor (Addiction (Substance Use Disorder))
1235 MCHENRY AVE STE AANDB
MODESTO, CA 95350
Stanislaus County (209) 605-9236
MAYRA ALEJANDRA LOZANO
Counselor (Addiction (Substance Use Disorder))
1235 MCHENRY AVE STE AANDB
MODESTO, CA 95350
Stanislaus County (209) 527-4597
IVEIT HIDO
Counselor (Addiction (Substance Use Disorder))
1235 MCHENRY AVE STE AANDB
MODESTO, CA 95350
Stanislaus County (209) 247-8011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lillia Jackson's NPI number?

The NPI number for Lillia Jackson is 1013663285. It was assigned to this individual provider in the NPPES registry on February 26, 2022.

Where is Lillia Jackson located?

Lillia Jackson practices at 1235 Mchenry Ave Ste Aandb, Modesto, CA 95350. The listed phone number is (209) 527-4597.

What is Lillia Jackson's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Lillia Jackson was last updated on February 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.