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Active NPI 1770281099 Individual Practitioner Female Practitioner

Shannon Jackson , LPN

Licensed Practical Nurse • Saco, ME

Professional Overview & Biography Verified Profile Summary

Shannon Jackson, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Saco, ME. Practice services are available at 2 LEHNER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2 Lehner Rd

Saco, ME 040721836

Telephone 2073002471
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Saco, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Saco, ME (80 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-02-16
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License ME LPN12738

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Autumn Walsh

Counselor - Addiction (Substance Use Disorder)

NPI 1174248645
Gregory Boucouvalas

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1184330797
Shalleigh Williams , LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1295452076

Licensed Alcohol and Drug Counselor

Brian Brewer , RN

Registered Nurse

NPI 1538812094

Registered Nurse

Amanda Faust , RN

Registered Nurse

NPI 1720786635

Registered Nurse

Elizabeth Schmidt

Registered Nurse - Addiction (Substance Use Disorder)

NPI 1730019183

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 16, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location February 16, 2023

Registered at 2 LEHNER RD, SACO, ME 040721836 (Tel: 2073002471)

📍
Updated Business Mailing Address February 16, 2023

Registered at 2 LEHNER RD, SACO, ME 040721836

👤
Provider Name / Credentials Updated February 16, 2023

Recorded as SHANNON JACKSON, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2023

Licensed Practical Nurse (License #LPN12738 in ME)

🟢
Initial NPI Registration & Enumeration February 16, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770281099
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 16, 2023
Last Update: February 16, 2023
Sole Proprietor: No

Mailing Address

2 Lehner Rd

Saco, ME 040721836

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.