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HomeProvidersSHANA JACKSON CPNP-PC

Nurse Practitioner, Pediatrics

SHANA JACKSON CPNP-PC

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1730786641 · enumerated 2020-10-04 · record updated 2021-10-29. Source: CMS NPPES. A listing is not a TRICARE network approval.

NPPES record Google Maps Apple Maps OpenStreetMap

Addresses and phones

Practice location 206 CENTRE SOUTH BLVD, AIKEN, SC, 29803-6319 (803) 642-9204 Google Maps Apple Maps OpenStreetMap
Mailing address 206 CENTRE SOUTH BLVD, AIKEN, SC, 29803-6319 (803) 642-9204 Google Maps Apple Maps OpenStreetMap

Specialties

Registered Nurse, Pediatrics 163WP0200X · License 231529 SC
Nurse Practitioner, Pediatrics 363LP0200X · Primary · License 25500 SC

In this directory

SC Aiken County Aiken Nurse Practitioner, Pediatrics

Locations and evidence

Practice location AIKEN, SC, 298036319
Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.