MS. KENDRA Y JACKSON LVN
NPI 1578726204
Licensed Vocational Nurse in Fresno, CA

Active since July 02, 2008
568 S WINERY AVE, #104, FRESNO, CA 93727(559) 455-7371 Get Directions Write a Review

NPPES record last updated: July 2, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Kendra Y Jackson Lvn NPPES

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

MS. KENDRA Y JACKSON LVN (NPI 1578726204) is an individual licensed vocational nurse provider in Fresno, California, licensed in California (VN199765) and active in the NPI registry since July 2008.Information from the official NPPES registry record, last updated July 2, 2008.

NPPES Registry Identity

NPI1578726204
Entity TypeIndividualFemale
Provider Legal NameMS. KENDRA Y JACKSONCredential: LVN
Location Address568 S WINERY AVE, #104Fresno, CA 93727-8239
Mailing Address568 S Winery Ave, #104Fresno, CA 93727-8239 · (559) 455-7371
Sole ProprietorYes
Enumeration DateJuly 2, 2008
NPI 1578726204 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Licensed Vocational Nurse

Taxonomy 164X00000X · Nursing Service Providers

Licensed in CA · VN199765

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… Show more

568 S WINERY AVE, Fresno, CA 93727

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578726204, enumerated as an "individual" on July 02, 2008.

The provider is located at 568 S WINERY AVE #104 FRESNO, CA 93727 and the phone number is (559) 455-7371.

Licensed Vocational Nurse with taxonomy code 164X00000X.