Shante Octavia Jackson, LPN
Shante Octavia Jackson, LPN is a Licensed Practical Nurse in Phila, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.
- Licensed in
- PA
- In the registry since
- 2025
What do these letters mean?
- LPN — Licensed Practical Nurse
- A licensed nurse who works under the direction of an RN or physician.
Practice location Address checks out
50 E Willow Grove Ave Apt 1Phila, PA 19118-3464
Phone: (856) 514-0073
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence LPN303611 (PA) |
|---|
Record details
| NPI number | 1982594313 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LPN |
| Sole proprietor | Yes |
| NPI enumerated | July 7, 2025 |
| Last updated in NPPES | July 23, 2026 |
| Certification date | July 23, 2026 |
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