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

SHANEQUA JACKSON

Active Sole Proprietor

SHANEQUA JACKSON is a Home Health Aide healthcare provider located in AUGUSTA, Georgia. NPI 1740807494 is currently active in the NPPES registry. Verify at CMS.

Home Health Aide · AUGUSTA, GA

Registration Details

NPI Number
1740807494
Provider Type
Individual
Gender
Female
NPI Issued
Jun 29, 2020 (6.0874422355477 yrs)
Last Updated
Jun 29, 2020
Sole Proprietor
Yes

Practice Information

Address
1204 HEMLOCK DR
AUGUSTA, GA, 309092754
Browse GA providers · Browse ZIP 30909
Phone
7062280321
Primary Specialty
Home Health Aide
374U00000X

Other Home Health Aide Providers in AUGUSTA, GA

Name Credential NPI
MELISSA BLACKWELL CMA 1184028102
STEVE PETER HYMEL 1477042547
NIYETROSHIA H ANDERSON 1710519251
MESHA D'ANNA MORRIS 1023612850
JESSICA S JEFFERSON PCT 1407527245
MS. MONIQUE N CLARK 1124763651
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.