Shavonta Jackson, CNA
NPI #1336883602 in Stone Mountain, Georgia
Provider Information
- NPI Number
- 1336883602
- Entity Type
- Individual
- Name
- Shavonta Jackson, CNA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse's Aide
- Credential
- CNA
- Enumeration Date
- Apr 23, 2022
- Last Updated
- Apr 23, 2022
Practice Location
- Address
- 1607 BARRINGTON VW
- City
- Stone Mountain
- State
- Georgia
- ZIP Code
- 30087-1846
- Phone
- (678) 582-9317
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse's Aide |
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