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Shantiea M Jackson, LPN
Licensed Practical Nurse in Canton, Ohio
NPI 1952859605

Shantiea M Jackson is a Licensed Practical Nurse based in Canton, OH. Shantiea M Jackson practices in Canton, OH and has the professional credentials of LPN. The NPI Number for Shantiea M Jackson is 1952859605 and holds a License No. LPN.128068.MEDS-IV (Ohio).

The current practice location address for Shantiea M Jackson is 625 Cleveland Ave Nw, Canton, OH and can be reached out via phone at 330-453-8252 and via fax at 330-453-6716.

Location: 625 Cleveland Ave Nw, Canton, OH, 44702-1805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952859605
Provider Name
Shantiea M Jackson
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
625 Cleveland Ave Nw, Canton, OH, 44702-1805
Phone Number
330-453-8252
Fax Number
330-453-6716
Provider Enumeration Date
09/12/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
625 Cleveland Ave Nw
City
Canton
State
Ohio
Zip
44702-1805
Phone Number
330-453-8252
Fax Number
330-453-6716
person
Provider Business Mailing Address Details
Address
625 Cleveland Ave Nw
City
Canton
State
Ohio
Zip
44702-1805
Phone Number
330-453-8252
Fax Number
330-453-6716
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
LPN.128068.MEDS-IV (Ohio)
Definition
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.
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