Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANQUEATA YATRICE JACKSON
Active Sole ProprietorSHANQUEATA YATRICE JACKSON is a Driver healthcare provider located in REX, Georgia. NPI 1548113004 is currently active in the NPPES registry. Verify at CMS.
Driver · REX, GA
Registration Details
- NPI Number
- 1548113004
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 16, 2026 (0.46356682174201 yrs)
- Last Updated
- Feb 16, 2026
- Sole Proprietor
- Yes
Practice Information
- Address
-
6501 MENLO WAYREX, GA, 302731624Browse GA providers · Browse ZIP 30273
- Phone
- 7705579137
- Primary Specialty
-
Driver
172A00000X
Other Driver Providers in REX, GA
| Name | Credential | NPI |
|---|---|---|
| CARLTON CALHOUN | — | 1881058386 |
| SHAJUANAKA GRIER | — | 1841863537 |
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.