Shante Jackson
Shante Jackson is a Nurse's Aide in Snellville, Georgia. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1597 Holly Brook RdSnellville, GA 30078-2219
Phone: (203) 725-2004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse's Aide (primary) | Taxonomy 376K00000X · Licence 0014217458 |
|---|
Record details
| NPI number | 1790428852 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 17, 2022 |
| Last updated in NPPES | April 17, 2022 |
| Certification date | April 17, 2022 |
| Mailing address | Po Box 871, Snellville, GA 30078-0871 |
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