SHANNON LAURA JACKSON


Address: 2301 Erwin Rd, Durham, NC 27705-4699
Phone: 5302204806

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0200X Registered Nurse
Specialization: Pediatrics
294964 NC Nursing Service Providers

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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

Office Location

Street Address 2301 ERWIN RD
City DURHAM
State NC
Zip Code 27705-4699

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 163WP0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City DURHAM
Zip Code 27705

Improve Information

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Dataset Information

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.

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