Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SHANEE DOMONIQUE JACKSON
NPI 1255262887
Substance Abuse Rehabilitation Facility in Stockton, CA

Q: What is Shanee Jackson's NPI number?

The NPI number for Shanee Jackson is 1255262887. It was assigned to this individual provider in the NPPES registry on May 25, 2026.

Q: What is Shanee Jackson's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Q: When was this NPI record last updated?

The NPPES record for Shanee Jackson was last updated on May 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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 May 25, 2026

819 E HAMMER LN APT 139, STOCKTON, CA 95210(209) 983-7290 Get Directions Write a Review

NPPES record added: May 25, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shanee Domonique Jackson NPPES

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

SHANEE DOMONIQUE JACKSON (NPI 1255262887) is an individual substance abuse rehabilitation facility provider in Stockton, California and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1255262887

Entity TypeIndividualFemale

Primary Taxonomy324500000X

Provider Legal NameSHANEE DOMONIQUE JACKSON

Location Address819 E HAMMER LN APT 139Stockton, CA 95210-2751

Mailing Address819 E Hammer Ln Apt 139Stockton, CA 95210-2751 · (209) 983-7290

Phone(209) 983-7290

Sole ProprietorYes

Enumeration DateMay 25, 2026

NPPES CertifiedMay 24, 2026

✔ NPI 1255262887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 25707

819 E HAMMER LN APT 139, Stockton, CA 95210

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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 Shanee Jackson's NPI number?

The NPI number for Shanee Jackson is 1255262887. It was assigned to this individual provider in the NPPES registry on May 25, 2026.

Where is Shanee Jackson located?

Shanee Jackson practices at 819 E Hammer Ln Apt 139, Stockton, CA 95210. The listed phone number is (209) 983-7290.

What is Shanee Jackson's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Shanee Jackson was last updated on May 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.