MRS. EVANGELINA JACKSON LVN
NPI 1346870672
Licensed Vocational Nurse in San Diego, CA

Q: What is the provider's specialty?

The provider's specialty is Licensed Vocational Nurse with taxonomy code 164X00000X.

Active since January 26, 2020

3853 ROSECRANS ST, SAN DIEGO, CA 92110(619) 615-0439 Get Directions Write a Review

NPPES record last updated: January 26, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Mrs. Evangelina Jackson Lvn NPPES

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

MRS. EVANGELINA JACKSON LVN (NPI 1346870672) is an individual licensed vocational nurse in San Diego, California, licensed in California (291827) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1346870672

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameMRS. EVANGELINA JACKSONCredential: LVN

Location Address3853 ROSECRANS STSan Diego, CA 92110-3115

Mailing Address600 B St Ste 1570San Diego, CA 92101-4560 · (619) 615-0439

Phone(619) 615-0439

Sole ProprietorYes

Enumeration DateJanuary 26, 2020

✔ NPI 1346870672 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 · 291827

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.

3853 ROSECRANS ST, San Diego, CA 92110

Open in Google Maps ↗