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

Tina Shanette Jackson

Individual provider Counselor · NPI 1609536622

Tina Shanette Jackson is a Counselor in Gainesville, Florida. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

4300 SW 13th St
Gainesville, 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

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1609536622
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 20, 2021
Last updated in NPPESDecember 20, 2021
Certification dateDecember 20, 2021
Mailing address4300 Sw 13th St, Gainesville, FL 32608-4006

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