Individual provider · Type 1 NPI

Shiniece Nicole Jackson

Licensed Practical Nurse · Syracuse, NY

NPI number 1063668051 Active · reactivated Feb 15, 2022

Practice location

5813 S Salina St
Syracuse, NY 13205-3264

Call (315) 380-4864 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X263257-1 (NY)

Licensed Practical Nurse: 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 responsibilities vary among the states.

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About NPI 1063668051

Shiniece Nicole Jackson's National Provider Identifier is 1063668051, issued on Aug 11, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Syracuse, NY. The record was last updated on Feb 15, 2022.