Shawna Jackson

NPI #1194158436 in Soldotna, Alaska

Provider Information

NPI Number: 1194158436
Entity Type: Individual
Name: Shawna Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Aug 9, 2013
Last Updated: Aug 9, 2013

Practice Location

Address: 47202 PRINCETON AVE
City: Soldotna
State: Alaska
ZIP Code: 99669-8242
Phone: (907) 420-3600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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