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SHALONTA JACKSON
NPI 1841893492
Licensed Practical Nurse in Fort Rucker, AL

Active since November 17, 2020
301 ANDREWS AVENUE, FORT RUCKER, AL 36360(800) 261-7193 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shalonta Jackson NPPES

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

SHALONTA JACKSON (NPI 1841893492) is an individual licensed practical nurse in Fort Rucker, Alabama, licensed in Alabama (2-066976) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1841893492
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSHALONTA JACKSON
Location Address301 ANDREWS AVENUEFort Rucker, AL 36360
Mailing Address301 Andrews AvenueFort Rucker, AL 36360
Phone(800) 261-7193
Sole ProprietorNo
Enumeration DateNovember 17, 2020
NPPES CertifiedNovember 16, 2020
✔ NPI 1841893492 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 AL · 2-066976
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.
301 ANDREWS AVENUE, Fort Rucker, AL 36360
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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.

JAMES DARREN BEASLEY PTA
Physical Therapy Assistant
301 ANDREWS AVENUE
FORT RUCKER, AL 36360
Dale County (334) 685-2673

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 Shalonta Jackson's NPI number?

The NPI number for Shalonta Jackson is 1841893492. It was assigned to this individual provider in the NPPES registry on November 17, 2020.

Where is Shalonta Jackson located?

Shalonta Jackson practices at 301 Andrews Avenue, Fort Rucker, AL 36360. The listed phone number is (800) 261-7193.

What is Shalonta 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 Shalonta Jackson was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.