Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Shelonda Katrina Jackson

Individual provider Registered Nurse · NPI 1265344501

Shelonda Katrina Jackson is a Registered Nurse in Hines, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

5000 S 5th Ave
Hines, IL 60141-3030
Phone: (708) 202-9397
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 041362730 (IL)

Record details

NPI number1265344501
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 21, 2026
Last updated in NPPESSeptember 21, 2026
Certification dateSeptember 21, 2026

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