Shannon Jackson, LPN is a
Licensed Practical Nurse based in Saco, Maine. Shannon Jackson is licensed to practice in Maine (license number LPN12738) and her current practice location is
2 Lehner Rd, Saco, Maine. She can be reached at her office (for appointments etc.) via phone at
(207) 300-2471.
NPI number for Shannon Jackson is 1770281099 and her current mailing address is 2 Lehner Rd, Saco, Maine. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770281099.
Provider's Profile
Full Name | Shannon Jackson |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 2 Lehner Rd, Saco, Maine |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770281099
- Provider Enumeration Date: 02/16/2023
- Last Update Date: 02/16/2023
Medical Identifiers
Medical identifiers for Shannon Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770281099 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | LPN12738 (Maine) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shannon Jackson, LPN 2 Lehner Rd, Saco, ME 04072-1836 Ph: () - | Shannon Jackson, LPN 2 Lehner Rd, Saco, ME 04072-1836 Ph: (207) 300-2471 |
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