Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SHATONNE DIANNE JACKSON, LPN
Active Sole ProprietorMS. SHATONNE DIANNE JACKSON, LPN is a Nursing Facility/Intermediate Care Facility healthcare provider located in DAYTON, Ohio. NPI 1568897783 is currently active in the NPPES registry. Verify at CMS.
Nursing Facility/Intermediate Care Facility · DAYTON, OH
Registration Details
- NPI Number
- 1568897783
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 6, 2013 (12.953698543059 yrs)
- Last Updated
- Sep 6, 2013
- License
-
149943 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
616 ELLSWORTH DRDAYTON, OH, 45426Browse OH providers · Browse ZIP 45426
- Phone
- 9375815081
- Primary Specialty
-
Nursing Facility/Intermediate Care Facility
313M00000X
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.