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

MS. SHAVOKA L JACKSON

Active

MS. SHAVOKA L JACKSON is a Home Health Aide healthcare provider located in GULFPORT, Mississippi. NPI 1568004398 is currently active in the NPPES registry. Verify at CMS.

Home Health Aide · GULFPORT, MS

Registration Details

NPI Number
1568004398
Provider Type
Individual
Gender
Female
NPI Issued
Oct 14, 2019 (6.6494859303103 yrs)
Last Updated
Feb 4, 2020

Practice Information

Address
20375 SECRETARIAT
GULFPORT, MS, 395034596
Browse MS providers · Browse ZIP 39503
Phone
6015665265
Primary Specialty
Home Health Aide
374U00000X

Other Home Health Aide Providers in GULFPORT, MS

Name Credential NPI
MONICA CONLEY 1295122570
MR. ANDREA BROUSSARD 1538605027
MRS. DORTHA MAE RIDEOUT 1194231399
MR. SANTANGELO BARNES 1437828910
TAMERRICA BENDER 1508576935
BYRON JOHNSON 1548976343
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.