JERRI KHAMMANH
NPI 1144679333
Licensed Vocational Nurse in Stockton, CA

Q: What is Jerri Khammanh's NPI number?

The NPI number for Jerri Khammanh is 1144679333. It was assigned to this individual provider in the NPPES registry on June 8, 2016.

Q: What is Jerri Khammanh's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jerri Khammanh was last updated on June 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 08, 2016

4965 BETTY MAE DR, STOCKTON, CA 95212(209) 487-3299 Get Directions Write a Review

NPPES record last updated: June 8, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jerri Khammanh NPPES

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

JERRI KHAMMANH (NPI 1144679333) is an individual licensed vocational nurse in Stockton, California, licensed in California (VN 291389) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1144679333

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameJERRI KHAMMANH

Location Address4965 BETTY MAE DRStockton, CA 95212-3040

Mailing Address4965 Betty Mae DrStockton, CA 95212-3040 · (209) 487-3299

Phone(209) 487-3299

Sole ProprietorYes

Enumeration DateJune 8, 2016

✔ NPI 1144679333 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 · VN 291389

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.

4965 BETTY MAE DR, Stockton, CA 95212

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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 Jerri Khammanh's NPI number?

The NPI number for Jerri Khammanh is 1144679333. It was assigned to this individual provider in the NPPES registry on June 8, 2016.

Where is Jerri Khammanh located?

Jerri Khammanh practices at 4965 Betty Mae Dr, Stockton, CA 95212. The listed phone number is (209) 487-3299.

What is Jerri Khammanh'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 Jerri Khammanh was last updated on June 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.