Jackson, Victoria Lynn

Jackson, Victoria Lynn is an individual health care provider with primary practice located at 921 W Avenue J , Lancaster CA 93534-3443. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Jackson, Victoria Lynn can be contacted via phone (661) 949-0131.

Contact Information

Primary practice address
921 W Avenue J Lancaster CA 93534-3443
Phone: (661) 949-0131
Fax: (661) 729-8912
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X California

Profile Details

NPI number 1033238928
LBN Legal business name Jackson, Victoria Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Jul 14th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033238928 NPPES
California MEDICAID 00007473
California Other CBSC9849

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