IndividualActive
Shante Jackson
NPI 1790428852 · Nurse's Aide · Snellville, GA
Shante Jackson is a Nurse's Aide provider in Snellville, GA (NPI 1790428852).
Provider details
- NPI number
- 1790428852
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0014217458
Specialties & taxonomies
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
1597 Holly Brook Rd
Snellville, GA 30078-2219
Phone: (203) 725-2004
Street-level locationGet directions
Mailing address
Po Box 871
Snellville, GA 30078-0871
Registry dates
- Enumerated
- 2022-04-17
- Last updated
- 2022-04-17
- Certified
- 2022-04-17
Frequently asked questions
- What is Shante Jackson's NPI number?
- Shante Jackson's National Provider Identifier (NPI) is 1790428852, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shante Jackson's specialty?
- Shante Jackson is listed in the NPPES registry with a primary specialty of Nurse's Aide (Nursing Service Related Providers).
- Where is Shante Jackson located?
- Shante Jackson's practice location on file with NPPES is 1597 Holly Brook Rd, Snellville, GA 30078-2219.
- What is Shante Jackson's phone number?
- The practice phone number listed in the NPPES registry for Shante Jackson is (203) 725-2004.
- Is Shante Jackson's NPI active?
- Yes — Shante Jackson's NPI (1790428852) is active in the NPPES registry as of the last update on 2022-04-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.