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

MS. Shiniece Nicole Jackson

Individual provider Licensed Practical Nurse · NPI 1063668051

MS. Shiniece Nicole Jackson is a Licensed Practical Nurse in Syracuse, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008

Practice location Address checks out

5813 S Salina St
Syracuse, NY 13205-3264
Phone: (315) 380-4864
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 263257-1 (NY)

Record details

NPI number1063668051
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 11, 2008
Last updated in NPPESFebruary 15, 2022
Certification dateFebruary 15, 2022

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