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

Miss. Portia Monique Jackson, LVN

Individual provider Licensed Vocational Nurse · NPI 1619496049

Miss. Portia Monique Jackson, LVN is a Licensed Vocational Nurse in San Bernardino, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
What do these letters mean?
LVN — Licensed Vocational Nurse
The same role as an LPN; the title used in California and Texas.

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Practice location Address checks out

1022 Sunbrook Dr
San Bernardino, CA 92407
Phone: (310) 766-1838
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 272565 (CA)

Record details

NPI number1619496049
Entity typeIndividual (Type 1)
GenderFemale
Credentials LVN
Sole proprietorNo
NPI enumeratedSeptember 18, 2017
Last updated in NPPESSeptember 18, 2017

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