Individual provider · Type 1 NPI
Lisa Jack
Registered Nurse · Hayward, CA
Practice location
3121 Diablo Ave
Hayward, CA 94545-2701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | RN9584790 (FL) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1508761396
Lisa Jack's National Provider Identifier is 1508761396, issued on Oct 12, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Hayward, CA. The record was last updated on Oct 12, 2026.