Shalonta Jackson
NPI #1841893492 in Fort Rucker, Alabama
Provider Information
- NPI Number
- 1841893492
- Entity Type
- Individual
- Name
- Shalonta Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Nov 17, 2020
- Last Updated
- Nov 17, 2020
Practice Location
- Address
- 301 ANDREWS AVENUE
- City
- Fort Rucker
- State
- Alabama
- ZIP Code
- 36360
- Phone
- (800) 261-7193
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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