Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ANDREA L JACKSON LVN
NPI 1699695262
Licensed Vocational Nurse in Victorville, CA

Q: What is Andrea Jackson's NPI number?

The NPI number for Andrea Jackson is 1699695262. It was assigned to this individual provider in the NPPES registry on July 15, 2026.

Q: What is Andrea Jackson'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 Andrea Jackson was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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 July 15, 2026

16552 SUNHILL DR, VICTORVILLE, CA 92395(760) 780-4400 Get Directions Write a Review

NPPES record added: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Andrea L Jackson Lvn NPPES

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

ANDREA L JACKSON LVN (NPI 1699695262) is an individual licensed vocational nurse in Victorville, California, licensed in California (761407) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1699695262

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameANDREA L JACKSONCredential: LVN

Location Address16552 SUNHILL DRVictorville, CA 92395-4518

Mailing Address16552 Sunhill DrVictorville, CA 92395-4518 · (760) 780-4400

Phone(760) 780-4400

Sole ProprietorNo

Enumeration DateJuly 15, 2026

NPPES CertifiedJuly 15, 2026

✔ NPI 1699695262 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 · 761407

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.

16552 SUNHILL DR, Victorville, CA 92395

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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.

RODOLFO ANTONIO LINARES

Licensed Vocational Nurse