Jackson, Shanequa

Jackson, Shanequa is an sole proprietor health care provider with primary practice located at 1204 Hemlock Dr , Augusta GA 30909-2754. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Jackson, Shanequa can be contacted via phone (706) 228-0321.

Contact Information

Primary practice address
1204 Hemlock Dr Augusta GA 30909-2754
Phone: (706) 228-0321
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1740807494
LBN Legal business name Jackson, Shanequa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2020
Last updated Jun 29th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers