Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chanell Shannon Jackson, NMW, WHNP

Individual provider Women's Health Nurse Practitioner · NPI 1356011597

Chanell Shannon Jackson, NMW, WHNP is a Certified Nurse Midwife (CNM) in Culver City, California. Qualified in 2018, 8 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2021
Specialties on file
2
What do these letters mean?
WHNP — Women's Health Nurse Practitioner
A nurse practitioner specialising in women's health.

See every abbreviation used in this directory →

Practice location Address checks out

5883 1/2 Doverwood Dr
Culver City, CA 90230-7203
Phone: (310) 848-7736
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Midwife (primary) Taxonomy 176B00000X · Licence 236061 (CA)
Women's Health Nurse Practitioner Taxonomy 363LW0102X · Licence 236061 (CA)

Record details

NPI number1356011597
Entity typeIndividual (Type 1)
GenderFemale
Credentials NMW , WHNP
Sole proprietorNo
NPI enumeratedSeptember 19, 2021
Last updated in NPPESMarch 30, 2022
Certification dateSeptember 19, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED NURSE MIDWIFE (CNM)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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