MS. Shalana Venice Jackson, RN

NPI #1376778373 in Rochester, New York

Provider Information

NPI Number: 1376778373
Entity Type: Individual
Name: MS. Shalana Venice Jackson, RN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Credential: RN
Enumeration Date: May 19, 2009
Last Updated: May 19, 2009

Practice Location

Address: 2113 TITUS AVE
City: Rochester
State: New York
ZIP Code: 14622-1834
Phone: (585) 527-0449

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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