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

Cradeja Shovon Jackson

Individual provider Home Health Aide · NPI 1386322634

Cradeja Shovon Jackson is a Home Health Aide in Florence, South Carolina. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

715 King Ave
Florence, SC 29501-4332
Phone: (843) 319-7055
Show map & directions

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

Specialties & licences

Home Health Aide (primary) Taxonomy 374U00000X

Record details

NPI number1386322634
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 7, 2023
Last updated in NPPESJuly 7, 2023
Certification dateJuly 7, 2023

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