Individual provider · Type 1 NPI

Deshawn Jahmal Edge-Hughes

Licensed Vocational Nurse · San Bernardino, CA

NPI number 1063376523 Active

Practice location

2080 S E St
San Bernardino, CA 92408-2773

Call (909) 388-9191 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X755587 (CA)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1063376523

Deshawn Jahmal Edge-Hughes's National Provider Identifier is 1063376523, issued on Dec 10, 2025. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in San Bernardino, CA. The record was last updated on Dec 10, 2025.