Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHANIQUA JANORIA JACKSON
Active Sole ProprietorMRS. SHANIQUA JANORIA JACKSON is a Intellectual Disabilities Residential Treatment Facility healthcare provider located in CAMERON, North Carolina. NPI 1467289611 is currently active in the NPPES registry. Verify at CMS.
Intellectual Disabilities Residential Treatment Facility · CAMERON, NC
Registration Details
- NPI Number
- 1467289611
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 19, 2024 (1.9375824298831 yrs)
- Last Updated
- Sep 19, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
36 RAMONA COLLINS CTCAMERON, NC, 283266667Browse NC providers · Browse ZIP 28326
- Phone
- 9128098713
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
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.