MRS. Shauntorya Jackson, AGNP
NPI #1104296615 in Flower Mound, Texas
Provider Information
- NPI Number
- 1104296615
- Entity Type
- Individual
- Name
- MRS. Shauntorya Jackson, AGNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Gerontology
- Credential
- AGNP
- Enumeration Date
- Sep 28, 2015
- Last Updated
- Jul 5, 2023
Practice Location
- Address
- 2281 OLYMPIA DR
- Address 2
- SUITE 100
- City
- Flower Mound
- State
- Texas
- ZIP Code
- 75028-1857
- Phone
- (469) 322-0089
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Nurse Practitioner - Gerontology — Gerontology |
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