Individual provider · Type 1 NPI
Jacquiline. Kimera
Licensed Vocational Nurse · Villa Park, CA
Practice location
1648 N Brigantine Ln
Villa Park, CA 92867-4058
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Vocational Nurse Primary | 164X00000X | 745504 (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…
About NPI 1528870508
Jacquiline. Kimera's National Provider Identifier is 1528870508, issued on Jan 25, 2025. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Villa Park, CA. The record was last updated on Apr 18, 2026.