Shanelle Jackson, MD
NPI 1962295949 · Student in an Organized Health Care Education/Training Program · Los Angeles, CA
Shanelle Jackson, MD is a Student in an Organized Health Care Education/Training Program provider in Los Angeles, CA (NPI 1962295949).
Provider details
- NPI number
- 1962295949
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 4351055023 (MI)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense 4351055023 (MI)
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Mailing address
Registry dates
- Enumerated
- 2025-05-23
- Last updated
- 2026-04-20
- Certified
- 2026-04-20
Frequently asked questions
- What is Shanelle Jackson's NPI number?
- Shanelle Jackson's National Provider Identifier (NPI) is 1962295949, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shanelle Jackson's specialty?
- Shanelle Jackson is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Shanelle Jackson located?
- Shanelle Jackson's practice location on file with NPPES is 1731 E 120th St, Los Angeles, CA 90059-3051.
- What is Shanelle Jackson's phone number?
- The practice phone number listed in the NPPES registry for Shanelle Jackson is (323) 563-4800.
- Is Shanelle Jackson's NPI active?
- Yes — Shanelle Jackson's NPI (1962295949) is active in the NPPES registry as of the last update on 2026-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.