Individual provider · Type 1 NPI

Julieanne Chacko

Licensed Vocational Nurse · Menifee, CA

NPI number 1770407595 Active

Practice location

29264 Cool Creek Dr
Menifee, CA 92586-2819

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X754368 (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 1770407595

Julieanne Chacko's National Provider Identifier is 1770407595, issued on Aug 5, 2026. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Menifee, CA. The record was last updated on Aug 5, 2026.