MS. Shavonne Jackson, NP
NPI #1356052971 in Colonial Heights, Virginia
Provider Information
- NPI Number
- 1356052971
- Entity Type
- Individual
- Name
- MS. Shavonne Jackson, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NP
- Enumeration Date
- Dec 6, 2022
- Last Updated
- Jul 10, 2024
Practice Location
- Address
- 524 SOUTHPARK BLVD
- City
- Colonial Heights
- State
- Virginia
- ZIP Code
- 23834-3609
- Phone
- (804) 504-7980
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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