Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SHANNON REGINA JACKSON, NP-C
Deactivated Sole ProprietorMS. SHANNON REGINA JACKSON, NP-C is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in SEATTLE, Washington. NPI 1851842843 is deactivated in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · SEATTLE, WA
This NPI has been deactivated.
The record was deactivated on October 10, 2025.
Deactivated NPIs are no longer valid for billing or credentialing.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
- 1851842843
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 14, 2016 (8.9890410958904 yrs)
- Last Updated
- Dec 16, 2025
- Deactivated
- Oct 10, 2025
- Licenses
-
AP09036 (LA)AP09036 (LA)AP61640256 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
101 ELLIOTT AVE W STE 500SEATTLE, WA, 981194292Browse WA providers · Browse ZIP 98119
- Phone
- 2067086432
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in SEATTLE, WA
| Name | Credential | NPI |
|---|---|---|
| ROSA M JOHNSON | ARNP, MN | 1063410181 |
| EDITH A COHEN | MN, ARNP | 1477555266 |
| MS. PAULA ELIZABETH ALSEPT | ARNP | 1043207061 |
| MARJORIE L. STROM | ARNP | 1104878438 |
| GEORGE H. GLADE SR. | ARNP | 1407808074 |
| KATHRYN LYNN MCNEIL | APRN | 1902859903 |
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.