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

Shaquan Jackson

Individual provider Licensed Practical Nurse · NPI 1730818691

Shaquan Jackson is a Licensed Practical Nurse in Rochester, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022

Practice location Address checks out

214 Saint Patrick Dr
Rochester, NY 14623-3730
Phone: (585) 615-4905
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 342121 (NY)

Record details

NPI number1730818691
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 7, 2022
Last updated in NPPESJune 7, 2022
Certification dateJune 7, 2022
Mailing address214 Saint Patrick Dr, Rochester, NY 14623-3730

Other providers in Rochester