Shantiea M Jackson, LPN

NPI #1952859605 in Canton, Ohio

Provider Information

NPI Number
1952859605
Entity Type
Individual
Name
Shantiea M Jackson, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Sep 12, 2016
Last Updated
Sep 12, 2016

Practice Location

Address
625 CLEVELAND AVE NW
City
Canton
State
Ohio
ZIP Code
44702-1805
Phone
(330) 453-8252

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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