Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952859605 Individual Practitioner Female Practitioner

Shantiea M Jackson , LPN

Licensed Practical Nurse • Canton, OH

Professional Overview & Biography Verified Profile Summary

Shantiea Jackson, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Canton, OH. Practice services are available at 625 CLEVELAND AVE NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

625 Cleveland Ave Nw

Canton, OH 447021805

Telephone 3304538252
Fax 3304536716
Associated Practice Facility / Clinic
🏢 Commquest Services, Inc. Facility NPI 1730168311

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Canton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
234 Specialists

Practicing in Canton, OH (13034 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

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OH LPN.128068.MEDS-IV

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

40 Associated Practitioners
Joseph Lockett , LICDC

Counselor - Addiction (Substance Use Disorder)

NPI 1003085424
Amy Nelson , CT, CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1003272220

CT, Chemical Dependency Counselor Assistant

Hillary Whiteman

Counselor - Addiction (Substance Use Disorder)

NPI 1003365933
Morgan Truax

Community Health Worker

NPI 1003407149
NPI 1003577057
Stephen Wallace , LPCC

Counselor - Professional

NPI 1023399052

Licensed Professional Clinical Counselor

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 12, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 12, 2016

Registered at 625 CLEVELAND AVE NW, CANTON, OH 447021805 (Tel: 3304538252)

📍
Updated Business Mailing Address September 12, 2016

Registered at 625 CLEVELAND AVE NW, CANTON, OH 447021805 (Tel: 3304538252)

👤
Provider Name / Credentials Updated September 12, 2016

Recorded as SHANTIEA JACKSON, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2016

Licensed Practical Nurse (License #LPN.128068.MEDS-IV in OH)

🟢
Initial NPI Registration & Enumeration September 12, 2016

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: 1952859605
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 12, 2016
Last Update: September 12, 2016
Sole Proprietor: No

Mailing Address

625 Cleveland Ave Nw

Canton, OH 447021805

Phone: 3304538252

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.