JESSICA KELLY LVN
NPI 1225427883
Licensed Vocational Nurse in San Diego, CA

Active since January 20, 2015
5511 SURFRIDER WAY, SAN DIEGO, CA 92154(678) 551-3586 Get Directions Write a Review

NPPES record last updated: January 20, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Licensed Vocational Nurse

About JESSICA KELLY

This page provides the complete NPI Profile along with additional information for Jessica Kelly, a provider established in San Diego, California with a medical specialization in Licensed Vocational Nurse. The healthcare provider is registered in the NPI registry with number 1225427883 assigned on January 2015. The practitioner's primary taxonomy code is 164X00000X with license number VN262622 (CA). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1225427883 Verify this NPI
Provider Name
JESSICA KELLY LVN
Other Name
JESSICA AMEZCUA
Other Name Type
Other Name (5)
Gender
Female
Entity Type
Individual
Location Address
5511 SURFRIDER WAY SAN DIEGO, CA 92154
Location Phone
(678) 551-3586
Mailing Address
5511 SURFRIDER WAY SAN DIEGO, CA 92154
Is Sole Proprietor?
No
Enumeration Date
01-20-2015
Last Update Date
01-20-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Vocational Nurse

Taxonomy Code
164X00000X
Type
Nursing Service Providers
License No.
VN262622
License State
CA
Taxonomy Description
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.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225427883, enumerated as an "individual" on January 20, 2015.

The provider is located at 5511 SURFRIDER WAY SAN DIEGO, CA 92154 and the phone number is (678) 551-3586.

Licensed Vocational Nurse with taxonomy code 164X00000X.