Shawnda Trenay Jackson in Maple Heights - Licensed Practical Nurse
Shawnda Trenay Jackson - NPI 1518163716
Shawnda Trenay Jackson is a Licensed Practical Nurse in Maple Heights, Ohio. Shawnda Trenay Jackson practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Shawnda Trenay Jackson is 1518163716. The last update date is 2007-07-08.
Shawnda Trenay Jackson's current location address is 5343 Clement Avenue, Maple Heights, Ohio. You can contact this provider via phone number 2166632430. The mailing address for Shawnda Trenay Jackson is 5343 Clement Avenue, Maple Heights, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shawnda Trenay Jackson |
|---|---|
| Address | 5343 Clement Avenue, Maple Heights, Ohio |
| Phone Number | 2166632430 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1518163716 |
|---|---|
| Provider Enumeration Date | 2007-06-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5343 Clement Avenue |
|---|---|
| City | Maple Heights |
| State | Ohio (OH) |
| Post Code | 44137 |
| Phone Number | 2166632430 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | PN.118913 |
|
Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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Post Comment/ Review Below
What is the Shawnda Trenay Jackson's 1518163716?
The Shawnda Trenay Jackson's NPI (National Provider Identifier) Number is 1518163716. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Shawnda Trenay Jackson's facilities are geographically located?
The facilities of Shawnda Trenay Jackson are physically situated at the following location: 5343 Clement Avenue, Maple Heights, OH, 44137.
What is the Shawnda Trenay Jackson's area of specialization and corresponding taxonomy classification?
The Shawnda Trenay Jackson's specialty field is Licensed Practical Nurse, and it falls under the taxonomy code 164W00000X, which categorizes healthcare providers based on their specialties.
When did Shawnda Trenay Jackson receive its 1518163716 assignment?
The Shawnda Trenay Jackson was assigned its 1518163716 on 2007-06-25, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Shawnda Trenay Jackson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shawnda Trenay Jackson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.