Shavonta Jackson, CNA
Shavonta Jackson, CNA is a Nurse's Aide in Stone Mountain, Georgia. Practices as a sole proprietor. Licensed in Georgia.
- Licensed in
- GA
- In the registry since
- 2022
Practice location Address checks out
1607 Barrington VwStone Mountain, GA 30087-1846
Phone: (678) 582-9317
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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 CN0028901061 (GA) |
|---|
Record details
| NPI number | 1336883602 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CNA |
| Sole proprietor | Yes |
| NPI enumerated | April 23, 2022 |
| Last updated in NPPES | April 23, 2022 |
| Certification date | April 23, 2022 |
| Mailing address | 1607 Barrington Vw, Stone Mountain, GA 30087-1846 |
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