Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANTE JACKSON
Active Sole ProprietorSHANTE JACKSON is a Nurse's Aide healthcare provider located in SNELLVILLE, Georgia. NPI 1790428852 is currently active in the NPPES registry. Verify at CMS.
Nurse's Aide · SNELLVILLE, GA
Registration Details
- NPI Number
- 1790428852
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 17, 2022 (4.305086549685 yrs)
- Last Updated
- Apr 17, 2022
- License
-
0014217458
- Sole Proprietor
- Yes
Practice Information
- Address
-
1597 HOLLY BROOK RDSNELLVILLE, GA, 300782219Browse GA providers · Browse ZIP 30078
- Phone
- 2037252004
- Primary Specialty
-
Nurse's Aide
376K00000X
Other Nurse's Aide Providers in SNELLVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| MILSS SIMS | PCT/CNA | 1467709378 |
| ALBERTA HARDEMAN | — | 1831502731 |
| CHARISE OBIORAH | — | 1396412870 |
| DARIASZ RAPHVIALE FURLOW | CERTIFIED NURSE AIDE | 1972274488 |
| DEBRA ANN JOHNSON | CNA | 1255028494 |
| ADENIKE ENIGBOKAN | — | 1619831542 |
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.