MS. SHINIECE NICOLE JACKSON
NPI 1063668051
Licensed Practical Nurse in Syracuse, NY

Q: What is Shiniece Jackson's NPI number?

The NPI number for Shiniece Jackson is 1063668051. It was assigned to this individual provider in the NPPES registry on August 11, 2008.

Q: What is Shiniece Jackson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Shiniece Jackson was last updated on February 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 11, 2008

5813 S SALINA ST, SYRACUSE, NY 13205(315) 380-4864 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Shiniece Nicole Jackson NPPES

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

MS. SHINIECE NICOLE JACKSON (NPI 1063668051) is an individual licensed practical nurse in Syracuse, New York, licensed in New York (263257-1) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1063668051

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMS. SHINIECE NICOLE JACKSON

Location Address5813 S SALINA STSyracuse, NY 13205-3264

Mailing Address5813 S Salina StSyracuse, NY 13205-3264 · (315) 380-4864

Phone(315) 380-4864

Sole ProprietorYes

Enumeration DateAugust 11, 2008

Last NPPES UpdateFebruary 15, 2022

NPPES CertifiedFebruary 15, 2022

✔ NPI 1063668051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 263257-1

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

5813 S SALINA ST, Syracuse, NY 13205

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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 Shiniece Jackson's NPI number?

The NPI number for Shiniece Jackson is 1063668051. It was assigned to this individual provider in the NPPES registry on August 11, 2008.

Where is Shiniece Jackson located?

Shiniece Jackson practices at 5813 S Salina St, Syracuse, NY 13205. The listed phone number is (315) 380-4864.

What is Shiniece Jackson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Shiniece Jackson was last updated on February 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.