Jackson, Shantay

Jackson, Shantay is an individual health care provider with primary practice located at 1954 Marabou Dr , Davenport FL 33896-8616. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Jackson, Shantay can be contacted via phone (407) 995-9094.

Contact Information

Primary practice address
1954 Marabou Dr Davenport FL 33896-8616
Phone: (407) 995-9094
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X 422805 Florida

Profile Details

NPI number 1629704499
LBN Legal business name Jackson, Shantay
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2022
Last updated Jul 25th, 2022 - about 4 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.

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