SearchCalifornia163WC1600X

Shannon Jackson, RN

NPI 1053051292 · on the registry since 2022

Practice

Address
618 W School St
Compton, CA 90220
Phone
(310) 933-8253
Fax
(562) 600-7803

Registry record

Primary taxonomy
163WC1600X
163WC1600X
Also registered as
171M00000X
171400000X
174H00000X
405300000X
101YM0800X
163WD0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-07-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California