Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANTAY JACKSON
ActiveSHANTAY JACKSON is a Homemaker healthcare provider located in DAVENPORT, Florida. NPI 1629704499 is currently active in the NPPES registry. Verify at CMS.
Homemaker · DAVENPORT, FL
Registration Details
- NPI Number
- 1629704499
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 25, 2022 (3.9100971556054 yrs)
- Last Updated
- Jul 25, 2022
- License
-
422805 (FL)
Practice Information
- Address
-
1954 MARABOU DRDAVENPORT, FL, 338968616Browse FL providers · Browse ZIP 33896
- Phone
- 4079959094
- Primary Specialty
-
Homemaker
376J00000X
Other Homemaker Providers in DAVENPORT, FL
| Name | Credential | NPI |
|---|---|---|
| ALISE BLOUNT | — | 1508348152 |
| ROSLYN NINVALLE | LNHA | 1639709876 |
| EBONY MONICK LUKE | — | 1013511856 |
| CHASITY SHEPARD | — | 1629823380 |
| MONIQUE M CANNON | — | 1841090693 |
| MR. OLAITAN ODENIYI | — | 1184412405 |
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.