SHAMEEKA KELLY NPI 1003271073

NPI Information

  • NPI: 1003271073
  • Provider Name: SHAMEEKA KELLY
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 124 CHESTER LEVEE RD
    JACKSON, TN
    ZIP 38301
  • Phone: (731) 343-8684

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NPI Details

Shameeka Kelly is a licensed practical nurse in Jackson, TN. The provider is a licensed practical nurse 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. Requirements for education, experience, licensure, and job responsibilities vary among the states. Shameeka Kelly NPI is 1003271073. 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:

124 CHESTER LEVEE RD
JACKSON, TN
ZIP 38301-562
Phone: (731) 343-8684

The enumeration date for this NPI number is 12/17/2015 and was last updated on 12/17/2015.

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
1164W00000XLicensed Practical Nurse83001TENNESSEEYes

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: 11/21/2025

NPI Synchronization or Removal

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