Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHAUNTORYA JACKSON, AGNP
ActiveMRS. SHAUNTORYA JACKSON, AGNP is a Gerontological Nurse Practitioner healthcare provider located in FLOWER MOUND, Texas. NPI 1104296615 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · FLOWER MOUND, TX
Registration Details
- NPI Number
- 1104296615
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 28, 2015 (10.834925525087 yrs)
- Last Updated
- Jul 5, 2023
- Licenses
-
AP128145 (TX)AP128145 (TX)
Practice Information
- Address
-
2281 OLYMPIA DRSUITE 100FLOWER MOUND, TX, 750281857Browse TX providers · Browse ZIP 75028
- Phone
- 4693220089
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
- Additional Specialty
- Gerontological Nurse Practitioner
Other Gerontological Nurse Practitioner Providers in FLOWER MOUND, TX
| Name | Credential | NPI |
|---|---|---|
| JAMIE A LANGSTON | AGNP-C | 1346036514 |
| MARIAM ALWANI | — | 1437026572 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.