Provider Demographics
NPI:1962747139
Name:CHERRIOKEE, JANE NJOKI (LVN)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:NJOKI
Last Name:CHERRIOKEE
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:NJOKI
Other - Last Name:NGACHA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:229 S DELANO ST APT 1
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-1763
Mailing Address - Country:US
Mailing Address - Phone:714-396-9374
Mailing Address - Fax:
Practice Address - Street 1:716 SOUTH WEBSTER AVE #206
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804
Practice Address - Country:US
Practice Address - Phone:714-396-9374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-29
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA193136164X00000X
CA95287824163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No164X00000XNursing Service ProvidersLicensed Vocational Nurse