Jackson, Shantel

Jackson, Shantel is an individual health care provider with primary practice located at 207A W Main St , Clinton NC 28328-4048. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Jackson, Shantel can be contacted via phone (910) 299-0700.

Contact Information

Primary practice address
207A W Main St Clinton NC 28328-4048
Fax: (910) 299-0800
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 11819 North Carolina

Profile Details

NPI number 1275997157
LBN Legal business name Jackson, Shantel
Credentials MS, CCC/SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2016
Last updated Apr 7th, 2016 - about 10 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