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SHANNON JACKSON LPN
NPI 1770281099
Licensed Practical Nurse in Saco, ME

Active since February 16, 2023

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shannon Jackson Lpn NPPES

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

SHANNON JACKSON LPN (NPI 1770281099) is an individual licensed practical nurse in Saco, Maine, licensed in Maine (LPN12738) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1770281099
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSHANNON JACKSONCredential: LPN
Location Address2 LEHNER RDSaco, ME 04072-1836
Mailing Address2 Lehner RdSaco, ME 04072-1836
Phone(207) 300-2471
Sole ProprietorNo
Enumeration DateFebruary 16, 2023
NPPES CertifiedFebruary 16, 2023
✔ NPI 1770281099 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 ME · LPN12738
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.
2 LEHNER RD, Saco, ME 04072
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Other Providers at the Same Location NPPES 9

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

AUTUMN MARIE WALSH
Counselor (Addiction (Substance Use Disorder))
2 LEHNER RD
SACO, ME 04072
York County (207) 300-2471
GREGORY JOHN BOUCOUVALAS
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2 LEHNER RD
SACO, ME 04072
York County (207) 300-2471
MR. BRIAN T BREWER SR. RN
Registered Nurse
2 LEHNER RD
SACO, ME 04072
York County (207) 300-2471
EVEREST RECOVERY CENTERS - MAINE
Clinic/Center (Rehabilitation, Substance Use Disorder)
2 LEHNER RD
SACO, ME 04072
York County (207) 300-2471
AMANDA FAUST RN
Registered Nurse
2 LEHNER RD
SACO, ME 04072
York County (207) 300-2471
ELIZABETH SCHMIDT
Registered Nurse (Addiction (Substance Use Disorder))
2 LEHNER RD
SACO, ME 04072
York County (207) 300-2471
PAULETTE CASTILLO
Registered Nurse
2 LEHNER RD
SACO, ME 04072
York County (207) 300-2471
CHELSEA ROSE LACHANCE CADC
Counselor (Addiction (Substance Use Disorder))
2 LEHNER RD
SACO, ME 04072
York County (207) 300-2471

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 Shannon Jackson's NPI number?

The NPI number for Shannon Jackson is 1770281099. It was assigned to this individual provider in the NPPES registry on February 16, 2023.

Where is Shannon Jackson located?

Shannon Jackson practices at 2 Lehner Rd, Saco, ME 04072. The listed phone number is (207) 300-2471.

What is Shannon 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 Shannon Jackson was last updated on February 16, 2023. 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.