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SHAQUAN JACKSON
NPI 1730818691
Licensed Practical Nurse in Rochester, NY

Active since June 07, 2022
214 SAINT PATRICK DR, ROCHESTER, NY 14623(585) 615-4905 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shaquan Jackson NPPES

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

SHAQUAN JACKSON (NPI 1730818691) is an individual licensed practical nurse in Rochester, New York, licensed in New York (342121) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1730818691
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameSHAQUAN JACKSON
Location Address214 SAINT PATRICK DRRochester, NY 14623-3730
Mailing Address214 Saint Patrick DrRochester, NY 14623-3730 · (585) 615-4905
Phone(585) 615-4905
Sole ProprietorYes
Enumeration DateJune 7, 2022
NPPES CertifiedJune 7, 2022
✔ NPI 1730818691 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 · 342121
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.
214 SAINT PATRICK DR, Rochester, NY 14623
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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 Shaquan Jackson's NPI number?

The NPI number for Shaquan Jackson is 1730818691. It was assigned to this individual provider in the NPPES registry on June 7, 2022.

Where is Shaquan Jackson located?

Shaquan Jackson practices at 214 Saint Patrick Dr, Rochester, NY 14623. The listed phone number is (585) 615-4905.

What is Shaquan 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 Shaquan Jackson was last updated on June 7, 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.