Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jackie Van DO, FNP

Individual provider Family Nurse Practitioner · NPI 1356925283

Jackie Van DO, FNP is a Nurse Practitioner in San Marcos, California. Qualified in 2021, 5 years ago. Practices with Scripps Health, a 1,446-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

111 Campus Way
San Marcos, CA 92078-4204
Phone: (760) 806-5700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Vale Terrace Dr, Vista, CA 92084-5218 — (760) 631-5000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95016368 (CA)

Record details

NPI number1356925283
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedMay 6, 2021
Last updated in NPPESNovember 21, 2024
Certification dateNovember 21, 2024
Mailing address10790 Rancho Bernardo Rd, San Diego, CA 92127-5705

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Scripps Health — 1446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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