DESHA OWANNA JACKSON CMA, LVN
NPI 1881989796
Licensed Vocational Nurse in Los Angeles, CA

Q: What is Desha Jackson's NPI number?

The NPI number for Desha Jackson is 1881989796. It was assigned to this individual provider in the NPPES registry on June 20, 2011.

Q: What is Desha 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 Desha Jackson was last updated on December 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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 June 20, 2011

1520 W 68TH ST, LOS ANGELES, CA 90047(323) 497-9583 Get Directions Write a Review

NPPES record last updated: December 27, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Desha Owanna Jackson Cma, Lvn NPPES

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

DESHA OWANNA JACKSON CMA, LVN (NPI 1881989796) is an individual licensed vocational nurse in Los Angeles, California, licensed in California (258755) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1881989796

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameDESHA OWANNA JACKSONCredential: CMA, LVN

Location Address1520 W 68TH STLos Angeles, CA 90047-2021

Mailing Address309 E Hillcrest Blvd Ste 519Inglewood, CA 90301-2405 · (323) 531-4261

Phone(323) 497-9583

Sole ProprietorNo

Enumeration DateJune 20, 2011

Last NPPES UpdateDecember 27, 2015

✔ NPI 1881989796 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 · 258755

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.

1520 W 68TH ST, Los Angeles, CA 90047

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FINGERTIPS INC.

Home Health

1520 W 68TH ST
LOS ANGELES, CA 90047

Los Angeles County (323) 627-6223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Desha Jackson's NPI number?

The NPI number for Desha Jackson is 1881989796. It was assigned to this individual provider in the NPPES registry on June 20, 2011.

Where is Desha Jackson located?

Desha Jackson practices at 1520 W 68th St, Los Angeles, CA 90047. The listed phone number is (323) 497-9583.

What is Desha Jackson's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Desha Jackson was last updated on December 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.