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SHONTA JACKSON
NPI 1013511070
Home Health in Charlotte, NC

Active since November 30, 2020
8301 PENCE RD APT B, CHARLOTTE, NC 28215(803) 342-0553 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shonta Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHONTA JACKSON (NPI 1013511070) is an individual home health provider in Charlotte, North Carolina and active in the NPI registry since November 2020. She maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1013511070
Entity TypeIndividualFemale
Primary Taxonomy251E00000X
Provider Legal NameSHONTA JACKSON
Location Address8301 PENCE RD APT BCharlotte, NC 28215-4357
Mailing Address8301 Pence Rd Apt BCharlotte, NC 28215-4357 · (803) 342-0553
Phone(803) 342-0553
Sole ProprietorYes
Enumeration DateNovember 30, 2020
NPPES CertifiedNovember 30, 2020
✔ NPI 1013511070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
8301 PENCE RD APT B, Charlotte, NC 28215
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Secondary Practice Location 1

Location 18301 Pence Rd Apt BCharlotte, NC 28215-4357 · Phone (803) 342-0553

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shonta Jackson's NPI number?

The NPI number for Shonta Jackson is 1013511070. It was assigned to this individual provider in the NPPES registry on November 30, 2020.

Where is Shonta Jackson located?

Shonta Jackson practices at 8301 Pence Rd Apt B, Charlotte, NC 28215. The listed phone number is (803) 342-0553.

What is Shonta Jackson's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Shonta Jackson was last updated on November 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.