Lookup NPI Numbers from the NPI Registry
NPI Profile for SHANA L JACKSON in AIKEN, SC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
363LP0200X | 50 | Nurse Practitioner | |
Pediatrics |
163WP0200X |
| NPI Number | 1730786641 |
|
| Status | Active | |
| Credentials | CPNP-PC | |
| Entity | Individual | |
| Enumeration date | 10/04/2020 | |
| Last updated | 10/29/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SHANA L JACKSON
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SHANA L JACKSON, CPNP-PC