Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750823829 Individual Practitioner Female Practitioner

Shelly Jackson

Licensed Practical Nurse • Lancaster, OH

Professional Overview & Biography Verified Profile Summary

Shelly Jackson is a registered healthcare professional specializing in Licensed Practical Nurse in Lancaster, OH. Practice services are available at 1592 GRANVILLE PIKE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1592 Granville Pike

Lancaster, OH 431301076

Telephone 7406870835
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Lancaster, OH

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

Practicing in Lancaster, 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- 145024

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
Amber Mallory , MSW, LSW

Social Worker - School

NPI 1023508637

Master of Social Work, Licensed Social Worker

NPI 1033761572

Licensed Social Worker

Sara Miller

Case Manager/Care Coordinator

NPI 1033945365
Debra Rehm , LCDC III

Counselor - Addiction (Substance Use Disorder)

NPI 1043509771

LCDCIII

NPI 1043707466
Erin Vaughan

Case Manager/Care Coordinator

NPI 1043778400

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active February 01, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 01, 2017

Registered at 1592 GRANVILLE PIKE, LANCASTER, OH 431301076 (Tel: 7406870835)

📍
Updated Business Mailing Address February 01, 2017

Registered at 1592 GRANVILLE PIKE, LANCASTER, OH 431301076

👤
Provider Name / Credentials Updated February 01, 2017

Recorded as SHELLY JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2017

Licensed Practical Nurse (License #LPN- 145024 in OH)

NPI Profile Active November 07, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 07, 2016

Registered at 765 PIERCE DR, COLUMBUS, OH 432232425 (Tel: 6142231650)

📍
Updated Business Mailing Address November 07, 2016

Registered at 765 PIERCE DR, COLUMBUS, OH 432232425

👤
Provider Name / Credentials Updated November 07, 2016

Recorded as SHELLY JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2016

Licensed Practical Nurse (License #LPN- 145024 in OH)

🟢
Initial NPI Registration & Enumeration November 07, 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: 1750823829
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2016
Last Update: February 01, 2017
Sole Proprietor: Yes

Mailing Address

1592 Granville Pike

Lancaster, OH 431301076

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.