SHANNON JACKSON RN NPI 1053051292

NPI Information

NPI: 1053051292
Provider Name: SHANNON JACKSON, RN
Classification: Registered Nurse - 163WC1600X
Entity Type: Individual

Specialization: Continuing Education/Staff Development

Address:
618 W SCHOOL ST
COMPTON, CA
ZIP 90220
Phone: (310) 933-8253
Get Directions

Shannon Jackson, RN is a continuing education/staff development registered nurse in Compton, CA. Shannon Jackson, RN NPI is 1053051292. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

618 W SCHOOL ST
COMPTON, CA
ZIP 90220-923
Phone: (310) 933-8253
Fax: (562) 600-7803

The enumeration date for this NPI number is 3/29/2022 and was last updated on 7/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171M00000X	Case Manager/Care Coordinator		482450	CALIFORNIA	No
2	171400000X	Health and Wellness Coach		482450	CALIFORNIA	No
3	174H00000X	Health Educator		482450	CALIFORNIA	No
4	405300000X	Prevention Professional		482450	CALIFORNIA	No
5	163WC1600X	Registered Nurse	Continuing Education/Staff Development	482450	CALIFORNIA	Yes
6	101YM0800X	Counselor	Mental Health	482450	CALIFORNIA	No
7	163WD0400X	Registered Nurse	Diabetes Educator	482450	CALIFORNIA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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