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

SHONTA RENEA JACKSON, LPN

Active Sole Proprietor

SHONTA RENEA JACKSON, LPN is a Licensed Vocational Nurse healthcare provider located in BRENHAM, Texas. NPI 1740761394 is currently active in the NPPES registry. Verify at CMS.

Licensed Vocational Nurse · BRENHAM, TX

Registration Details

NPI Number
1740761394
Provider Type
Individual
Gender
Female
NPI Issued
Aug 22, 2018 (7.7956646821519 yrs)
Last Updated
Aug 22, 2018
License
206993 (TX)
Sole Proprietor
Yes

Practice Information

Address
1500 GUN AND ROD RD
BRENHAM, TX, 778335811
Browse TX providers · Browse ZIP 77833
Phone
7132658713
Fax
7136659710
Primary Specialty
Licensed Vocational Nurse
164X00000X

Other Licensed Vocational Nurse Providers in BRENHAM, TX

Name Credential NPI
CAROLYN SUE HALL 1548761927
DIANE JUAREZ 1518447143
PRESTON ALLEN 1053955708
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.