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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANNON JACKSON, REHAB TECH

Active

SHANNON JACKSON, REHAB TECH is a Technician, Health Information healthcare provider located in SOUTH BEND, Indiana. NPI 1144427329 is currently active in the NPPES registry. Verify at CMS.

Technician, Health Information · SOUTH BEND, IN

Registration Details

NPI Number
1144427329
Provider Type
Individual
Gender
Female
NPI Issued
Jun 29, 2007 (19.149153465935 yrs)
Last Updated
Jul 8, 2007

Practice Information

Address
1950 RIDGEDALE RD
SOUTH BEND, IN, 466142243
Browse IN providers · Browse ZIP 46614
Phone
5742916722
Primary Specialty
Technician, Health Information
247200000X

Other Technician, Health Information Providers in SOUTH BEND, IN

Name Credential NPI
LATOYA JANAE SWANSON 1619364312
REGINA REEVESSCAIFE 1053864058
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.