What is Tashaka Jack's NPI number?

The NPI number assigned to this healthcare provider is 1861044828, enumerated as a individual on July 10, 2019.

Where is the provider located?

The provider is located at 4900 SERRANIA AVE WOODLAND HILLS, CA 91364 and the phone number is (818) 347-1577.

What is the provider's specialty?

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

TASHAKA JACK LVN - NPI 1861044828 - Licensed Vocational Nurse in Woodland Hills, CA

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About Tashaka Jack Lvn NPPES

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

TASHAKA JACK LVN (NPI 1861044828) is an individual licensed vocational nurse in Woodland Hills, California, licensed in California (685554) and active in the NPI registry since July 2019. She maintains a secondary practice location in Woodland Hills.

NPPES Registry Identity

NPI1861044828

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameTASHAKA JACKCredential: LVN

Location Address4900 SERRANIA AVEWoodland Hills, CA 91364

Mailing Address4900 Serrania AveWoodland Hills, CA 91364-3301

Phone(818) 347-1577

Sole ProprietorNo

Enumeration DateJuly 10, 2019

✔ NPI 1861044828 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 · 685554

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.

4900 SERRANIA AVE, Woodland Hills, CA 91364

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