SHANNON REGINA JACKSON (NPI# 1851842843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851842843 |
| Entity Type | Individual |
| Full Name | SHANNON REGINA JACKSON |
| Credential | NP-C |
| Practice Address |
294 Cypress Lakes Dr. Slidell LA 70458 |
| Practice Telephone | 5042201887 |
| Mailing Telephone | 5042201887 |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP09036 | LA | Physician Assistants & Advanced Practice Nursing 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 |
| 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 |
| 1235766601 | Shannon Laura Jackson | Registered Nurse | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-03-25 |
| 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 |
294 CYPRESS LAKES DR. |
| City | SLIDELL |
| State | LA |
| Zip Code | 70458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588385 | Rashaan Ali Duke II | Peer Specialist | 118 Village St, Slidell, La 70458, Slidell, LA 70458 | 2020-01-30 |
| 1558840447 | Latasha Atkins | Case Manager/Care Coordinator | 1349 Corporate Square Drive, Ste 2, Slidell, LA 70458 | 2018-08-10 |
| 1689166324 | Health and Beauty Near Me, Inc | Internal Medicine | 1181a Robert Blvd, Slidell, LA 70458 | 2018-05-30 |
| 1164922795 | Chauffe Shuttles LLC | Non-emergency Medical Transport (VAN) | 322 Cumberland Dr., Slidell, LA 70458 | 2018-02-20 |
| 1427560689 | Sigur Homes Inc | Contractor | 107 Columbia Place, Slidell, LA 70458 | 2017-10-27 |
| 1528584554 | Jade Williams | Counselor | 132 West Howse Beach Rd, Slidell, LA 70458 | 2017-08-22 |
| 1649794801 | Exquisite Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1 Mission Hills Dr, Slidell, LA 70458 | 2017-07-31 |
| 1427578665 | Cathy Martin | Counselor | 1349 Corporate Square Dr Ste 2, Slidell, LA 70458 | 2017-06-20 |
| 1184153595 | Lesley Marie Achary | Physician Assistant | 901 Gause Blvd., 2nd Floor, Slidell, LA 70458 | 2017-06-08 |
| 1376077057 | Spano Pt LLC | Physical Therapist | 1290 Front St, Slidell, LA 70458 | 2017-04-19 |
| Find all providers in zip 70458 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770118374 | Jourdan Pellegrini | Nurse Practitioner | 114 Annette Dr, Slidell, LA 70458-6016 | 2020-03-04 |
| 1013553577 | Kira Gilmore Smith | Nurse Practitioner | Pelican Urgent Care, 2375 Gause Blvd. East, Slidell, LA 70461 | 2019-11-20 |
| 1538703202 | Damita Veleka Carter-holmes | Nurse Practitioner | 1341 Denmark Ct, Slidell, LA 70461-4562 | 2019-11-05 |
| 1992350581 | Sharlana Wilson | Nurse Practitioner | 1218 Kings Row, Slidell, LA 70461-4434 | 2019-08-09 |
| 1699257428 | Healthcare In Harmony, LLC | Nurse Practitioner | 106 Autumn Lakes Cv, Slidell, LA 70461-5153 | 2018-08-29 |
| 1205333622 | Rebecca Bullard Ezell | Nurse Practitioner | 1850 Gause Blvd E Ste 101, Slidell, LA 70461-5454 | 2018-04-11 |
| 1275044331 | Dana R E Brown | Nurse Practitioner | 205a Sunset Dr, Slidell, LA 70460-6911 | 2017-10-17 |
| 1689105009 | Nerissa Christian | Nurse Practitioner | 206 Portsmouth Dr, Slidell, LA 70460-8433 | 2017-03-27 |
| 1619337318 | Jamie Estes | Nurse Practitioner | 1835 Admiral Nelson Dr, Slidell, LA 70461-4512 | 2016-02-24 |
| 1891185948 | Melissa Watson | Nurse Practitioner | 659 Brownswitch Rd, Slidell, LA 70458 | 2015-01-28 |
| Find all providers in SLIDELL | ||||
Please comment or provide details below to improve the information on SHANNON REGINA JACKSON.
| 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.