Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKARA SHADASHA DEWALT
ActiveJACKARA SHADASHA DEWALT is a Case Manager healthcare provider located in WEST COLUMBIA, South Carolina. NPI 1376264192 is currently active in the NPPES registry. Verify at CMS.
Case Manager · WEST COLUMBIA, SC
Registration Details
- NPI Number
- 1376264192
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 9, 2022 (3.9547518108186 yrs)
- Last Updated
- Sep 9, 2022
Practice Information
- Address
-
1600 PLATT SPRINGS RD APT 34WEST COLUMBIA, SC, 291695542Browse SC providers · Browse ZIP 29169
- Phone
- 8032900522
- Primary Specialty
-
Case Manager
171M00000X
Other Case Manager Providers in WEST COLUMBIA, SC
| Name | Credential | NPI |
|---|---|---|
| MRS. MARIA F. PATTON | LBSW,CCM | 1275879504 |
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.