Individual provider · Type 1 NPI

Shannon Laura Jackson, RN

Pediatric Registered Nurse · Durham, NC

NPI number 1235766601 Active

Practice location

2301 Erwin Rd
Durham, NC 27705-4699

Specialties and licenses

Taxonomy	Code	License
Pediatric Registered Nurse Primary	163WP0200X	294964 (NC)

Pediatric Registered Nurse: Definition to come...

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About NPI 1235766601

Shannon Laura Jackson, RN's National Provider Identifier is 1235766601, issued on Mar 25, 2020. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Durham, NC. The record was last updated on Mar 25, 2020.