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

Shanqueata Yatrice Jackson

Individual provider Driver · NPI 1548113004

Shanqueata Yatrice Jackson is a Driver in Rex, Georgia. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

6501 Menlo Way
Rex, GA 30273-1624
Phone: (770) 557-9137
Show map & directions

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

Specialties & licences

Driver (primary) Taxonomy 172A00000X

Record details

NPI number1548113004
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 16, 2026
Last updated in NPPESFebruary 16, 2026
Certification dateFebruary 16, 2026

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