Provider Demographics
NPI:1609432574
Name:VERNON, MARGERY JESM MUSNI (LVN)
Entity Type:Individual
Prefix:MRS
First Name:MARGERY JESM
Middle Name:MUSNI
Last Name:VERNON
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:MS
Other - First Name:MARGERY JESM
Other - Middle Name:MAGPUSAO
Other - Last Name:MUSNI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LVN
Mailing Address - Street 1:1036 JOLEEN CT
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94544-5779
Mailing Address - Country:US
Mailing Address - Phone:510-589-1129
Mailing Address - Fax:
Practice Address - Street 1:1036 JOLEEN CT
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94544-5779
Practice Address - Country:US
Practice Address - Phone:510-589-1129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-15
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN270730164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse