Ms Shawndrya Jackson, is a
Nursing Care based in Cleveland, Ohio. Ms Shawndrya Jackson is licensed to practice in * (Not Available) (license number ) and her current practice location is
3787 Highland Rd, Cleveland, Ohio. She can be reached at her office (for appointments etc.) via phone at
(216) 801-7016.
NPI number for Ms Shawndrya Jackson is 1477258564 and her current mailing address is 3787 Highland Rd, Cleveland, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477258564.
Provider's Profile
| Full Name | Ms Shawndrya Jackson |
|---|
| Gender | Female |
|---|
| Speciality | Nursing Care |
|---|
| Location | 3787 Highland Rd, Cleveland, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1477258564
- Provider Enumeration Date: 03/30/2023
- Last Update Date: 02/21/2025
Medical Identifiers
Medical identifiers for Ms Shawndrya Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477258564 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | RN510763 (Ohio) | Secondary |
| 172A00000X | Driver | (* (Not Available)) | Secondary |
| 246RP1900X | Technician, Pathology - Phlebotomy | (* (Not Available)) | Secondary |
| 251X00000X | Supports Brokerage | (* (Not Available)) | Secondary |
| 332U00000X | Home Delivered Meals | (* (Not Available)) | Secondary |
| 343900000X | Non-emergency Medical Transport (van) | (* (Not Available)) | Secondary |
| 253Z00000X | In Home Supportive Care | (* (Not Available)) | Secondary |
| 347C00000X | Private Vehicle | (* (Not Available)) | Secondary |
| 376J00000X | Homemaker | (* (Not Available)) | Secondary |
| 385H00000X | Respite Care | (* (Not Available)) | Secondary |
| 251J00000X | Nursing Care | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Shawndrya Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Shawndrya Jackson,
3787 Highland Rd,
Cleveland, OH 44111-5247
Ph: (216) 801-7016 | Ms Shawndrya Jackson,
3787 Highland Rd,
Cleveland, OH 44111-5247
Ph: (216) 801-7016 |
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