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SHANTE JACKSON
NPI 1790428852
Nurse's Aide in Snellville, GA

Active since April 17, 2022
1597 HOLLY BROOK RD, SNELLVILLE, GA 30078(203) 725-2004 Get Directions Write a Review

NPPES record last updated: April 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shante Jackson NPPES

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

SHANTE JACKSON (NPI 1790428852) is an individual nurse's aide in Snellville, Georgia, licensed in (0014217458) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1790428852
Entity TypeIndividualFemale
Primary Taxonomy376K00000X
Provider Legal NameSHANTE JACKSON
Location Address1597 HOLLY BROOK RDSnellville, GA 30078-2219
Mailing AddressPo Box 871Snellville, GA 30078-0871 · (203) 725-2004
Phone(203) 725-2004
Sole ProprietorYes
Enumeration DateApril 17, 2022
NPPES CertifiedApril 17, 2022
✔ NPI 1790428852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse's AideNursing Service Related Providers
Taxonomy Code376K00000X
License✔ Licensed · 0014217458
Definition
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
1597 HOLLY BROOK RD, Snellville, GA 30078
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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 Shante Jackson's NPI number?

The NPI number for Shante Jackson is 1790428852. It was assigned to this individual provider in the NPPES registry on April 17, 2022.

Where is Shante Jackson located?

Shante Jackson practices at 1597 Holly Brook Rd, Snellville, GA 30078. The listed phone number is (203) 725-2004.

What is Shante Jackson's specialty?

The primary specialty registered for this NPI is Nurse's Aide with taxonomy code 376K00000X.

When was this NPI record last updated?

The NPPES record for Shante Jackson was last updated on April 17, 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.