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

Lillia Jackson, NURSE

Individual provider Licensed Vocational Nurse · NPI 1013663285

Lillia Jackson, NURSE is a Licensed Vocational Nurse in Modesto, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

1235 McHenry Ave Ste Aandb
Modesto, CA 95350-5370
Phone: (209) 527-4597
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence VN264697 (CA)

Record details

NPI number1013663285
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSE
Sole proprietorNo
NPI enumeratedFebruary 26, 2022
Last updated in NPPESFebruary 26, 2022
Certification dateFebruary 26, 2022
Mailing address1235 McHenry Ave Ste Aandb, Modesto, CA 95350-5370

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