Individual provider · Type 1 NPI

Raven Sydney Jackson

Registered Nurse · Shaker Heights, OH

NPI number 1093612186 Active

Practice location

3526 Hildana Rd
Shaker Heights, OH 44120-5002

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN.482769 (OH)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1093612186

Raven Sydney Jackson's National Provider Identifier is 1093612186, issued on Oct 21, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Shaker Heights, OH. The record was last updated on Oct 21, 2026.