IndividualActive
Shannon Jackson, RN
NPI 1235766601 · Pediatric Registered Nurse · Durham, NC
Provider details
- NPI number
- 1235766601
- Entity type
- Individual
- Primary specialty
- Pediatric Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 294964 (NC)
Specialties & taxonomies
Nursing Service Providers
Practice location
2301 Erwin Rd
Durham, NC 27705-4699
Phone: (530) 220-4806
Approximate (ZIP-level) locationGet directions
Mailing address
2301 Erwin Rd
Durham, NC 27705-4699
Registry dates
- Enumerated
- 2020-03-25
- Last updated
- 2020-03-25
- Certified
- 2020-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.