Ms. Shanna Shaneen Jackson
NP | Nurse Practitioner | 4+ years Exp
24060 Fir Ave Ste A, Moreno Valley
California, 92553-2895
951-247-8005
Accepts Medicare Nurse Anesthetist in Moreno Valley, California.Ms. Shanna Shaneen Jackson is a Moreno Valley, California based nurse practitioner with 4 years of experience in Nurse Practitioner. She completed her graduation in 2021. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Ms. Shanna Shaneen Jackson is 95013739 for Family in California. Her current practice location is 24060 Fir Ave Ste A, Moreno Valley. Patients can reach her at 951-247-8005. Ms. Shanna Shaneen Jackson is NP with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1710506472.
Ms. Shanna Shaneen Jackson has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Ms. Shanna Shaneen Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Ms. Shanna Shaneen Jackson |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | NP |
| Experience: | 4+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2021 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 24060 Fir Ave Ste A, Moreno Valley, California, 92553-2895 |
| Phone: | 951-247-8005 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 3577959402 |
| Enrollment ID: | I20220401001209 |
| NPI Number: | 1710506472 |
| NPI Enumeration Date: | 13 Apr, 2020 |
| NPI Last Update On: | 26 Apr, 2022 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Shanna Shaneen Jackson are as mentioned below.
| License Number | Specialization | State | Status | |
| 95013739 | Family | California | Primary | |
| 755399 | Registered Nurse | California | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Ms. Shanna Shaneen Jackson is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Go Gently Medical Group Inc (9931510187) | 15 |
| Southern California Permanente Medical Group (6002729175) | 7677 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ms. Shanna Shaneen Jackson 25315 Moorland Rd, Moreno Valley, California |
| Zip: | 92551-9277 |
| Phone Number: | 323-422-4640 |
Patients can reach Ms. Shanna Shaneen Jackson at
24060 Fir Ave Ste A, Moreno Valley, California or can
call to book an appointment on 951-247-8005.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.