SHANNON JACKSON RN NPI 1053051292

NPI Information

  • NPI: 1053051292
  • Provider Name: SHANNON JACKSON, RN
  • Classification: Registered Nurse - 163WC1600X
  • Specialization: Continuing Education/Staff Development
  • Entity Type: Individual
  • Address: 618 W SCHOOL ST
    COMPTON, CA
    ZIP 90220
  • Phone: (310) 933-8253

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NPI Details

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
1171M00000XCase Manager/Care Coordinator482450CALIFORNIANo
2171400000XHealth and Wellness Coach482450CALIFORNIANo
3174H00000XHealth Educator482450CALIFORNIANo
4405300000XPrevention Professional482450CALIFORNIANo
5163WC1600XRegistered NurseContinuing Education/Staff Development482450CALIFORNIAYes
6101YM0800XCounselorMental Health482450CALIFORNIANo
7163WD0400XRegistered NurseDiabetes Educator482450CALIFORNIANo

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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