Individual provider · Type 1 NPI
Shanna Shaneen Jackson, NP
Family Nurse Practitioner · Moreno Valley, CA
NPI number
1710506472
Active
Practice location
24060 Fir Ave Ste A
Moreno Valley, CA 92553-2895
Mailing address
25315 Moorland Rd
Moreno Valley, CA 92551-9277
Other practice locations
- 12815 Heacock St, Moreno Valley, CA 92553-3116 · (951) 601-6149
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 755399 (CA) |
| Family Nurse Practitioner Primary | 363LF0000X | 95013739 (CA) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
Other family nurse practitioner providers in Moreno Valley
- Susan Launa Weeks, NPFamily Nurse Practitioner Moreno Valley, CA NPI 1023149010
- Mfon-Obong Nseuwa EtukudohFamily Nurse Practitioner Moreno Valley, CA NPI 1023683141
- Anthony I. OdimegwuFamily Nurse Practitioner Moreno Valley, CA NPI 1063938603
- Angel Lynn Rosilez, FNPFamily Nurse Practitioner Moreno Valley, CA NPI 1073086765
- Chun Wai Li, NPFamily Nurse Practitioner Moreno Valley, CA NPI 1083493712
- Dora M. Dajnowicz, N.P.Family Nurse Practitioner Moreno Valley, CA NPI 1114195591
- Erica E. Kim, NPFamily Nurse Practitioner Moreno Valley, CA NPI 1124500087
- Julian Garcia, NPFamily Nurse Practitioner Moreno Valley, CA NPI 1154008118
About NPI 1710506472
Shanna Shaneen Jackson, NP's National Provider Identifier is 1710506472, issued on Apr 13, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Moreno Valley, CA. The record was last updated on Apr 26, 2022.