SHANNON JACKSON
NPI 1821834474
Student in an Organized Health Care Education/Training Program in Meridian, MS

Q: What is Shannon Jackson's NPI number?

The NPI number for Shannon Jackson is 1821834474. It was assigned to this individual provider in the NPPES registry on July 3, 2024.

Q: What is Shannon Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Jackson was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 03, 2024

4107 58TH PL, MERIDIAN, MS 39307(601) 917-9830 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shannon Jackson NPPES

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

SHANNON JACKSON (NPI 1821834474) is an individual student in an organized health care education/training program in Meridian, Mississippi and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1821834474

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSHANNON JACKSON

Location Address4107 58TH PLMeridian, MS 39307-2925

Mailing Address4107 58th PlMeridian, MS 39307-2925 · (601) 917-9830

Phone(601) 917-9830

Sole ProprietorYes

Enumeration DateJuly 3, 2024

NPPES CertifiedJuly 3, 2024

✔ NPI 1821834474 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.

4107 58TH PL, Meridian, MS 39307

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Other Providers at the Same Location NPPES

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

BRIANA SHANTAE TURNER

Student in an Organized Health Care Education/Training Program

4107 58TH PL
MERIDIAN, MS 39307

Lauderdale County (601) 604-4303

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 1821834474. It was assigned to this individual provider in the NPPES registry on July 3, 2024.

Where is Shannon Jackson located?

Shannon Jackson practices at 4107 58th Pl, Meridian, MS 39307. The listed phone number is (601) 917-9830.

What is Shannon 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 Shannon Jackson was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.