Shantavia Jackson
Shantavia Jackson is a Case Manager/Care Coordinator in Gainesville, Florida. Licensed in Florida. Registered with an NPI since 2014.
- Licensed in
- FL
- In the registry since
- 2014
Practice location Address checks out
4300 SW 13th StGainesville, FL 32608-4006
Phone: (352) 374-5600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X (FL) |
|---|
Record details
| NPI number | 1881097764 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 6, 2014 |
| Last updated in NPPES | October 6, 2014 |
| Mailing address | 4300 Sw 13th St, Gainesville, FL 32608-4006 |
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4300 SW 13th St, Gainesville, FL 32608-4006 · (352) 374-5600