SHANNON LAURA JACKSON (NPI# 1235766601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235766601 |
Entity Type | Individual |
Full Name | SHANNON LAURA JACKSON |
Credential | RN |
Practice Address |
2301 Erwin Rd Durham NC 27705-4699 |
Practice Telephone | 5302204806 |
Enumeration Date | 2020-03-25 |
Last Update Date | 2020-03-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
294964 | NC | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235761149 | Shannon M Jackson | In Home Supportive Care | 4028 Vira Rd, Stow, OH 44224-3637 | 2020-02-08 |
1124526280 | Shannon Jackson | Nurse Practitioner | 850 Independence Ave, Akron, OH 44310-2541 | 2018-01-24 |
1588182463 | Shannon Daneigh Jackson | Technician | 4660 Martin Luther King Jr Ave Sw Apt B406, Washington, DC 20032-4978 | 2017-08-31 |
1851842843 | Shannon Regina Jackson | Nurse Practitioner | 294 Cypress Lakes Dr., Slidell, LA 70458 | 2016-10-14 |
1598027393 | Shannon Jackson | Behavioral Analyst | 2325 Nw 115th St, Oklahoma City, OK 73120-7309 | 2012-06-08 |
1417281064 | Shannon Jackson | Psychologist | 150 North Main St, Echn Health Services, Manchester, CT 06040-4188 | 2009-09-30 |
1407411366 | Shannon Jackson | Physical Therapy Assistant | 730 Thimble Shoals Blvd Ste 130, Newport News, VA 23606-4562 | 2019-05-07 |
1558742395 | Shannon Marie Jackson | Counselor | 4990 Williams Ave, La Mesa, CA 91942-7409 | 2015-06-17 |
1811323645 | Shannon Denise Jackson | Nurse Practitioner | 2800 Dallas Pkwy, Suite 150, Plano, TX 75093-5993 | 2013-09-25 |
1033429832 | Shannon Byrd Jackson | Dietitian, Registered | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2010-10-14 |
Street Address |
2301 ERWIN RD |
City | DURHAM |
State | NC |
Zip Code | 27705-4699 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326045857 | Duke University Health System, Inc. | Psychiatric Unit | 2301 Erwin Rd, Durham, NC 27705-4699 | 2005-06-30 |
1669073854 | Courtney Whitmore Jensen | Genetic Counselor, MS | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-11-04 |
1114528429 | Nicholas Tricarico | Nurse Anesthetist, Certified Registered | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-11-03 |
1164021788 | Wen Chian Ouyang | Nurse Practitioner | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-10-23 |
1447857529 | Christopher O'neal Fry | Nurse Anesthetist, Certified Registered | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-10-02 |
1932706140 | Ariane Cook | Physician Assistant | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-10-01 |
1801403795 | Shannon Marie Vannasane | Anesthesiology | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-09-25 |
1396352233 | Olivia Delpizzo | Registered Nurse | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-09-24 |
1619583051 | Colin Sauter | Physical Therapist | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-09-21 |
1962017111 | Anna Bueton | Nurse Practitioner | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-09-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
Find all providers in zip 27705 |
Taxonomy Code | 163WP0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255982484 | Elana Bornstein | Registered Nurse | Duke Unversity Hospital 2301 Erwin Drive, Durham, NC 27710-0001 | 2019-09-29 |
1194154526 | Marylou E Jason | Registered Nurse | 4099 State Highway 145, Durham, NY 12422 | 2013-11-06 |
1740428408 | Janis Ann Murray | Registered Nurse | Duke University Medical Ctr, Box 3458, Durham, NC 27710-0001 | 2009-02-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750759320 | Heather Treec | Registered Nurse | 448 Mae Dr, Hampstead, NC 28443-8278 | 2015-09-12 |
1083830137 | Amanda F Johnson | Registered Nurse | 7990 Arco Corporate Dr Ste 110, Raleigh, NC 27617-2030 | 2007-04-17 |
1407921190 | Alice Brittain Brooks | Registered Nurse | 3311 Burnt Mill Rd, Willmington, NC 28403 | 2006-11-21 |
1710056262 | Lauri A Fish | Registered Nurse | 3311 Burnt Mill Drive, Wilmington Cdsa, Wilmington, NC 28403-2654 | 2006-11-07 |
1013975374 | Judith Ann Damstrom | Registered Nurse | 414 Creedmoor Rd, Jacksonville, NC 28546-6021 | 2006-05-03 |
1316547888 | Brittany Edmonson | Registered Nurse | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-10-26 |
1790311975 | Amanda Cyr | Registered Nurse | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-03-19 |
1215442264 | Samantha Marie Casnettie | Registered Nurse | 1315 East Blvd Ste 280, Charlotte, NC 28203-5793 | 2017-12-12 |
1497268320 | Kelly Maines Squires | Registered Nurse | 23 Sunnybrook Rd, Raleigh, NC 27610-1855 | 2017-11-14 |
1356889810 | Brittany Scoville | Registered Nurse | 1200 N Elm St, Greensboro, NC 27401 | 2017-02-05 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.