What is Shavonta Jackson's NPI number?

Shavonta Jackson's National Provider Identifier (NPI) is 1336883602, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shavonta Jackson's specialty?

Shavonta Jackson is listed in the NPPES registry with a primary specialty of Nurse's Aide (Nursing Service Related Providers).

Where is Shavonta Jackson located?

Shavonta Jackson's practice location on file with NPPES is 1607 Barrington Vw, Stone Mountain, GA 30087-1846.

What is Shavonta Jackson's phone number?

The practice phone number listed in the NPPES registry for Shavonta Jackson is (678) 582-9317.

Is Shavonta Jackson's NPI active?

Yes — Shavonta Jackson's NPI (1336883602) is active in the NPPES registry as of the last update on 2022-04-23.

IndividualActive

Shavonta Jackson, CNA

NPI 1336883602 · Nurse's Aide · Stone Mountain, GA

Shavonta Jackson, CNA is a Nurse's Aide provider in Stone Mountain, GA (NPI 1336883602).

Provider details

NPI number: 1336883602
Entity type: Individual
Primary specialty: Nurse's AideNursing Service Related Providers
Credential: CNA
Sex: Female
Sole proprietor: Yes
License: CN0028901061 (GA)

Specialties & taxonomies

Nurse's AidePrimary376K00000XLicense CN0028901061 (GA)
Nursing Service Related Providers

Profile Score

Established profile(60/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1607 Barrington Vw

Stone Mountain, GA 30087-1846

Phone: (678) 582-9317

Street-level locationGet directions

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Mailing address