Shannon Jackson, NURSE PRACTITIONER

NPI #1124526280 in Akron, Ohio

Provider Information

NPI Number: 1124526280
Entity Type: Individual
Name: Shannon Jackson, NURSE PRACTITIONER
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Nurse Practitioner
Credential: NURSE PRACTITIONER
Enumeration Date: Jan 24, 2018
Last Updated: Jan 24, 2018

Practice Location

Address: 850 INDEPENDENCE AVE
City: Akron
State: Ohio
ZIP Code: 44310-2541
Phone: (330) 766-8277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Adult Health — Adult Health	363LA2200X
Nurse Practitioner - Gerontology — Gerontology	363LG0600X
Nurse Practitioner	363L00000X	Primary

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