Jackson, Shannon

Jackson, Shannon is an individual health care provider with primary practice located at 730 Thimble Shoals Blvd Ste 130 , Newport News VA 23606-4562. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Jackson, Shannon can be contacted via phone (757) 873-1554.

Contact Information

Primary practice address
730 Thimble Shoals Blvd Ste 130 Newport News VA 23606-4562
Phone: (757) 873-1554
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2306605329 Virginia

Profile Details

NPI number 1407411366
LBN Legal business name Jackson, Shannon
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2019
Last updated May 7th, 2019 - about 7 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