Shanickwa Jackson
Shanickwa Jackson is an Athletic Trainer in Hattiesburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2017.
- Licensed in
- MS
- In the registry since
- 2017
Practice location Address checks out
7 Lakewood DrHattiesburg, MS 39402-9425
Phone: (985) 237-2994
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence AT0857 (MS) |
|---|
Record details
| NPI number | 1326560319 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 11, 2017 |
| Last updated in NPPES | July 11, 2017 |
| Mailing address | 7 Lakewood Dr, Hattiesburg, MS 39402-9425 |
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