Shiniece Nicole Jackson
Licensed Practical Nurse • Syracuse, NY
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Shiniece Jackson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Shiniece Jackson was a registered Licensed Practical Nurse practicing in Syracuse, NY. Throughout an active medical career spanning 3 years, Shiniece Jackson provided care at the practice location at 5813 S SALINA ST until profile deactivation on 2011-11-01.
Practice Location & Contact Primary Location
5813 S Salina St
Syracuse, NY 132053264
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Syracuse, NY
Practicing in Syracuse, NY (23738 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2022-02-15NUCC Taxonomy Code: 164W00000X
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.
Career & Practice History Timeline
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Registered at 5813 S SALINA ST, SYRACUSE, NY 132053264 (Tel: 3153804864)
Registered at 5813 S SALINA ST, SYRACUSE, NY 132053264 (Tel: 3153804864)
Recorded as SHINIECE JACKSON
Licensed Practical Nurse (License #263257-1 in NY)
Record deactivated on November 01, 2011
First registered as active Individual Practitioner in NPPES Database.
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Mailing Address
5813 S Salina St
Syracuse, NY 132053264
Phone: 3153804864
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