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

Shawn D. Jackson

Individual provider Family Nurse Practitioner · NPI 1225391352

Shawn D. Jackson is a Nurse Practitioner in Philadelphia, Pennsylvania. Graduated from Temple University School of Medicine in 2018, 8 years ago. Accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
8
Trained at
Temple University School of Medicine
Licensed in
PA
In the registry since
2012
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

125 S 9th St
Philadelphia, PA 19107-5125
Phone: (215) 592-4500
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

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP012047 (PA)

Record details

NPI number1225391352
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 22, 2012
Last updated in NPPESOctober 7, 2021
Certification dateOctober 7, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Philadelphia