Jackson, Preata Lenae
Jackson, Preata Lenae is an sole proprietor health care provider with primary practice located at 17016 Jurassic Pl , Victorville CA 92394-7723. She recently has only one registered license in Nursing Service Providers / Maternal Newborn, which is considered as her primary health care specialty. Jackson, Preata Lenae can be contacted via phone (760) 596-1033.Contact Information
Primary practice address
17016 Jurassic Pl
Victorville CA 92394-7723
Phone: (760) 596-1033
Fax: (760) 596-1033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Maternal Newborn | 163WM0102X | 704221 | California |
Profile Details
| NPI number | 1912159047 |
|---|---|
| LBN Legal business name | Jackson, Preata Lenae |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 21st, 2008 |
| Last updated | Oct 21st, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912159047 | NPPES |
| California | Other | 704221 | CALIFORNIA BOARD OF NURSING |
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