JACQUALYNN SHADE LPN
NPI 1467171579
Licensed Practical Nurse in Camp Hill, PA

Active since August 23, 2022
423 N 21ST ST, CAMP HILL, PA 17011(717) 761-0930 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqualynn Shade Lpn NPPES

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

JACQUALYNN SHADE LPN (NPI 1467171579) is an individual licensed practical nurse in Camp Hill, Pennsylvania, licensed in Pennsylvania (PA26456178) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1467171579
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJACQUALYNN SHADECredential: LPN
Location Address423 N 21ST STCamp Hill, PA 17011-2207
Mailing Address423 N 21st StCamp Hill, PA 17011-2207 · (717) 761-0930
Sole ProprietorNo
Enumeration DateAugust 23, 2022
NPPES CertifiedAugust 22, 2022
NPI 1467171579 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 PA · PA26456178
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.
423 N 21ST ST, Camp Hill, PA 17011

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Advanced Practice Midwife
423 N 21ST ST
CAMP HILL, PA 17011
Physician Assistant
423 N 21ST ST, SUITE 100
CAMP HILL, PA 17011
Licensed Practical Nurse
423 N 21ST ST, SUITE 100
CAMP HILL, PA 17011
Neurological Surgery
423 N 21ST ST
CAMP HILL, PA 17011
Urology
423 N 21ST ST, STE 300
CAMP HILL, PA 17011
Advanced Practice Midwife
423 N 21ST ST, SUITE 202
CAMP HILL, PA 17011
Registered Nurse
423 N 21ST ST, SUITE 100
CAMP HILL, PA 17011
Licensed Practical Nurse
423 N 21ST ST, SUITE 100
CAMP HILL, PA 17011

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 Jacqualynn Shade's NPI number?

The NPI number for Jacqualynn Shade is 1467171579. It was assigned to this individual provider in the NPPES registry on August 23, 2022.

Where is Jacqualynn Shade located?

Jacqualynn Shade practices at 423 N 21st St, Camp Hill, PA 17011. The listed phone number is (717) 761-0930.

What is Jacqualynn Shade'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 Jacqualynn Shade was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.