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SHANEQUIA RAELLE JACKSON MD
NPI 1588451306
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since April 23, 2025
650 CLARKSON AVE, BROOKLYN, NY 11203(718) 270-2353 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Shanequia Raelle Jackson Md NPPES

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

SHANEQUIA RAELLE JACKSON MD (NPI 1588451306) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1588451306
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHANEQUIA RAELLE JACKSONCredential: MD
Location Address650 CLARKSON AVEBrooklyn, NY 11203
Mailing Address650 Clarkson AveBrooklyn, NY 11203
Phone(718) 270-2353
Sole ProprietorNo
Enumeration DateApril 23, 2025
NPPES CertifiedApril 23, 2025
✔ NPI 1588451306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
650 CLARKSON AVE, Brooklyn, NY 11203
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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 Shanequia Jackson's NPI number?

The NPI number for Shanequia Jackson is 1588451306. It was assigned to this individual provider in the NPPES registry on April 23, 2025.

Where is Shanequia Jackson located?

Shanequia Jackson practices at 650 Clarkson Ave, Brooklyn, NY 11203. The listed phone number is (718) 270-2353.

What is Shanequia Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Shanequia Jackson was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.