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

Individual provider Licensed Vocational Nurse · NPI 1861044828

Tashaka Jack, LVN is a Licensed Vocational Nurse in Woodland Hills, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2019
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

4900 Serrania Ave
Woodland Hills, CA 91364
Phone: (818) 347-1577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4900 Serrania Ave, Woodland Hills, CA 91364 — (818) 347-1577

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 685554 (CA)

Record details

NPI number1861044828
Entity typeIndividual (Type 1)
GenderFemale
Credentials LVN
Sole proprietorNo
NPI enumeratedJuly 10, 2019
Last updated in NPPESJuly 10, 2019

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