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SHIRLEY JACKSON
NPI 1144689936
Licensed Vocational Nurse in Culver City, CA

Active since February 22, 2016
9808 VENICE BLVD, STE. 505, CULVER CITY, CA 90232(310) 945-3350(310) 945-3356 Get Directions Write a Review

NPPES record last updated: February 22, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shirley Jackson NPPES

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

SHIRLEY JACKSON (NPI 1144689936) is an individual licensed vocational nurse in Culver City, California, licensed in California (278614) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1144689936
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameSHIRLEY JACKSON
Location Address9808 VENICE BLVD, STE. 505Culver City, CA 90232-2732
Mailing Address9808 Venice Blvd, Ste. 505Culver City, CA 90232-2732 · (310) 945-3350 · Fax (310) 945-3356
Phone(310) 945-3350
Fax(310) 945-3356
Sole ProprietorYes
Enumeration DateFebruary 22, 2016
✔ NPI 1144689936 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 · 278614
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.
9808 VENICE BLVD, Culver City, CA 90232
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Other Providers at the Same Location NPPES 20

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

JOSEPH A DERIJE NP
Nurse Practitioner (Psychiatric/Mental Health)
9808 VENICE BLVD, SUITE 700
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
HENRY P DURAZO
Rehabilitation Practitioner
9808 VENICE BLVD, SUITE 700
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
SOLEDAD VERGARA
Rehabilitation Practitioner
9808 VENICE BLVD, SUITE 700
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
CHERRYL DIOM
Registered Nurse (Psychiatric/Mental Health)
9808 VENICE BLVD, STE. 505
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
LAUREN MCFARLAND
Rehabilitation Practitioner
9808 VENICE BLVD, STE. 505
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
SHERRI BETHELMY
Rehabilitation Practitioner
9808 VENICE BLVD
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
JANINE RENEE STEWART
Rehabilitation Practitioner
9808 VENICE BLVD
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
TERRIE ADDISON
Community Health Worker
9808 VENICE BLVD, 505
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350

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 Shirley Jackson's NPI number?

The NPI number for Shirley Jackson is 1144689936. It was assigned to this individual provider in the NPPES registry on February 22, 2016.

Where is Shirley Jackson located?

Shirley Jackson practices at 9808 Venice Blvd Ste. 505, Culver City, CA 90232. The listed phone number is (310) 945-3350.

What is Shirley 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 Shirley Jackson was last updated on February 22, 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.