MS. SHATONNE DIANNE JACKSON LPN
NPI 1568897783
Nursing Facility/Intermediate Care Facility in Dayton, OH

Q: What is Shatonne Jackson's NPI number?

The NPI number for Shatonne Jackson is 1568897783. It was assigned to this individual provider in the NPPES registry on September 6, 2013.

Q: What is Shatonne Jackson's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Q: When was this NPI record last updated?

The NPPES record for Shatonne Jackson was last updated on September 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 September 06, 2013

616 ELLSWORTH DR, DAYTON, OH 45426(937) 581-5081 Get Directions Write a Review

NPPES record last updated: September 6, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Shatonne Dianne Jackson Lpn NPPES

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

MS. SHATONNE DIANNE JACKSON LPN (NPI 1568897783) is an individual nursing facility/intermediate care facility provider in Dayton, Ohio, licensed in Ohio (149943) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1568897783

Entity TypeIndividualFemale

Primary Taxonomy313M00000X

Provider Legal NameMS. SHATONNE DIANNE JACKSONCredential: LPN

Location Address616 ELLSWORTH DRDayton, OH 45426

Mailing Address616 Ellsworthy DrDayton, OH 45426 · (937) 581-5081

Phone(937) 581-5081

Sole ProprietorYes

Enumeration DateSeptember 6, 2013

✔ NPI 1568897783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

License✔ Licensed in OH · 149943

Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

616 ELLSWORTH DR, Dayton, OH 45426

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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 Shatonne Jackson's NPI number?

The NPI number for Shatonne Jackson is 1568897783. It was assigned to this individual provider in the NPPES registry on September 6, 2013.

Where is Shatonne Jackson located?

Shatonne Jackson practices at 616 Ellsworth Dr, Dayton, OH 45426. The listed phone number is (937) 581-5081.

What is Shatonne Jackson's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Shatonne Jackson was last updated on September 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.