Shannon Jackson, LPN
NPI 1770281099ActiveIndividual· Licensed Practical Nurse· Saco, ME
Licensed Practical Nurse (LPN) in Saco, Maine, licensed in ME, with an NPI issued in February 2023.
Overview
| NPI | 1770281099 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPN |
| Sole proprietor | No |
| NPI issued | Feb 16, 2023 |
| Last updated in NPPES | Feb 16, 2023 |
| Certified by provider | Feb 16, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | LPN12738 | ME |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|