Shonta Jackson
NPI #1013511070 in Charlotte, North Carolina
Provider Information
- NPI Number
- 1013511070
- Entity Type
- Individual
- Name
- Shonta Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Home Health
- Enumeration Date
- Nov 30, 2020
- Last Updated
- Nov 30, 2020
Practice Location
- Address
- 8301 PENCE RD APT B
- City
- Charlotte
- State
- North Carolina
- ZIP Code
- 28215-4357
- Phone
- (803) 342-0553
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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