Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SHINIECE NICOLE JACKSON
Deactivated Sole ProprietorMS. SHINIECE NICOLE JACKSON is a Licensed Practical Nurse healthcare provider located in SYRACUSE, New York. NPI 1063668051 is deactivated in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · SYRACUSE, NY
This NPI has been deactivated.
The record was deactivated on November 1, 2011.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1063668051
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 11, 2008 (3.224043715847 yrs)
- Last Updated
- Feb 15, 2022
- Deactivated
- Nov 1, 2011
- License
-
263257-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5813 S SALINA STSYRACUSE, NY, 132053264Browse NY providers · Browse ZIP 13205
- Phone
- 3153804864
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in SYRACUSE, NY
| Name | Credential | NPI |
|---|---|---|
| MS. PATRICIA ANN WENTZEL | L.P.N. | 1346340999 |
| NOELLE BRENNAN | LPN | 1871662072 |
| MS. MARY E. WILMOT | LPN | 1053481721 |
| SHARON L JOHN | LPN | 1699849257 |
| MS. NICOLE CHRISTINE CLARK | LPN | 1982767604 |
| TRACI ANN MOWRY | LPN | 1700919198 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.