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
State
Texas
ZIP Code
75028-1857
Phone
(469) 322-0089

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner
Nurse Practitioner - GerontologyGerontology

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