NPI 1003116302

Leanne D Jack, LVN

Practitioner Licensed Vocational Nurse Oceanside, CA

Practice location

Address: 1701 Mission Ave Suite a, Oceanside, CA 92058-7102
Phone: (760) 967-4475

Registered specialties

Licensed Vocational Nurse Primary

Nursing Service Providers Taxonomy 164X00000X Licence 244694 (CA)

Other Licensed Vocational Nurse providers in California →

Registry record

NPI: 1003116302
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Nov 2010
Record last updated: 29 May 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.