Shannon Jackson, RN
Shannon Jackson is a Continuing Education/Staff Development Registered Nurse provider (Registered Nurse) practicing in Compton, CA, registered in the NPPES registry with NPI 1053051292 since 2022. The credential RN stands for Registered Nurse.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1053051292 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Shannon Jackson |
| Credential | RN |
| Sex | Female |
| Practice address | 618 W SCHOOL ST, Compton, CA, 90220 |
| Phone | 3109338253 |
| Fax | 5626007803 |
| Enumeration date | 2022-03-29 |
| Last updated in NPPES | 2023-07-20 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | Secondary | 482450 | CA |
| 171400000X | Health & Wellness Coach | Secondary | 482450 | CA |
| 174H00000X | Health Educator | Secondary | 482450 | CA |
| 405300000X | Prevention Professional | Secondary | 482450 | CA |
| 163WC1600X | Continuing Education/Staff Development Registered Nurse | Primary | 482450 | CA |
| 101YM0800X | Mental Health Counselor | Secondary | 482450 | CA |
| 163WD0400X | Diabetes Educator Registered Nurse | Secondary | 482450 | CA |
RN — Registered Nurse: A nurse who completed an accredited nursing program and passed the NCLEX-RN licensure exam. About the RN credential
Copy-ready billing details
Provider: Shannon Jackson, RN NPI: 1053051292 Taxonomy: 163WC1600X (Continuing Education/Staff Development Registered Nurse) Address: 618 W SCHOOL ST, Compton, CA, 90220
Verify this record
Cross-check NPI 1053051292 against the authoritative CMS record: view Shannon Jackson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-07-20.