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

Shantay Jackson

Individual provider Homemaker · NPI 1629704499

Shantay Jackson is a Homemaker in Davenport, Florida. Licensed in Florida. Registered with an NPI since 2022.

Licensed in
FL
In the registry since
2022
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1954 Marabou Dr
Davenport, FL 33896-8616
Phone: (407) 995-9094
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Homemaker (primary) Taxonomy 376J00000X · Licence 422805 (FL)

Record details

NPI number1629704499
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 25, 2022
Last updated in NPPESJuly 25, 2022
Certification dateJuly 25, 2022
Mailing address1954 Marabou Dr, Davenport, FL 33896-8616

Other providers in Davenport