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SHANTIEA M JACKSON LPN
NPI 1952859605
Licensed Practical Nurse in Canton, OH

Active since September 12, 2016
625 CLEVELAND AVE NW, CANTON, OH 44702(330) 453-8252(330) 453-6716 Get Directions Write a Review

NPPES record last updated: September 12, 2016. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Shantiea M Jackson Lpn NPPES

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

SHANTIEA M JACKSON LPN (NPI 1952859605) is an individual licensed practical nurse in Canton, Ohio, licensed in Ohio (LPN.128068.MEDS-IV) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1952859605
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSHANTIEA M JACKSONCredential: LPN
Location Address625 CLEVELAND AVE NWCanton, OH 44702-1805
Mailing Address625 Cleveland Ave NwCanton, OH 44702-1805 · (330) 453-8252 · Fax (330) 453-6716
Phone(330) 453-8252
Fax(330) 453-6716
Sole ProprietorNo
Enumeration DateSeptember 12, 2016
✔ NPI 1952859605 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 OH · LPN.128068.MEDS-IV
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.
625 CLEVELAND AVE NW, Canton, OH 44702
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Other Providers at the Same Location NPPES 20

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

DOUGLAS KEVIN STEVENS CNP
Nurse Practitioner (Psychiatric/Mental Health)
625 CLEVELAND AVE NW
CANTON, OH 44702
Stark County (330) 445-2677
STEPHEN JAMES WALLACE LPCC
Counselor (Professional)
625 CLEVELAND AVE NW
CANTON, OH 44702
Stark County (330) 453-8252
TATYANNA MYRIE LPCC
Counselor (Professional)
625 CLEVELAND AVE NW
CANTON, OH 44702
Stark County (330) 445-2677
RONNIE LYNN TURPIN CDCA-PRE
Counselor (Addiction (Substance Use Disorder))
625 CLEVELAND AVE NW
CANTON, OH 44702
Stark County (330) 455-0374
ALYSSA MARIE KAROLESKI MFT
Marriage & Family Therapist
625 CLEVELAND AVE NW
CANTON, OH 44702
Stark County (330) 445-2677
CHRISTINE A POVROZNIK BA, LSW
Social Worker
625 CLEVELAND AVE NW
CANTON, OH 44702
Stark County (330) 455-0374
SAMANTHA SNOW SKELLEY LPCC
Counselor (Professional)
625 CLEVELAND AVE NW
CANTON, OH 44702
Stark County (330) 455-0374
JASMINE SPRADLEY
Counselor
625 CLEVELAND AVE NW
CANTON, OH 44702
Stark County (330) 455-0374

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 Shantiea Jackson's NPI number?

The NPI number for Shantiea Jackson is 1952859605. It was assigned to this individual provider in the NPPES registry on September 12, 2016.

Where is Shantiea Jackson located?

Shantiea Jackson practices at 625 Cleveland Ave NW, Canton, OH 44702. The listed phone number is (330) 453-8252.

What is Shantiea 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 Shantiea Jackson was last updated on September 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.