National Provider Identifier

Shalana Venice Jackson, RN

Shalana Venice Jackson, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Rochester, NY and a listed phone number of (585) 527-0449.

NPI 1376778373Rochester, NYRegistered Nurse

Profile Overview

NPI
1376778373
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
May 19, 2009
Last Updated
May 19, 2009

Practice Location

  • 2113 Titus Ave
  • Rochester, NY 14622-1834

Phone: (585) 527-0449

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1376778373
Entity Type
Individual
Last Name
Jackson
First Name
Shalana
Middle Name
Venice
Name Prefix
MS.
Credential
RN
Mailing Street Address
2113 Titus Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14622-1834
Mailing Country
US
Mailing Phone
(585) 527-0449
Practice Street Address
2113 Titus Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14622-1834
Practice Country
US
Practice Phone
(585) 527-0449
Enumeration Date
May 19, 2009
Last Updated
May 19, 2009
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)