Jackson, Shavoka L

Jackson, Shavoka L is an individual health care provider with primary practice located at 20375 Secretariat , Gulfport MS 39503-4596. 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, Shavoka L can be contacted via phone (601) 566-5265.

Contact Information

Primary practice address
20375 Secretariat Gulfport MS 39503-4596
Phone: (601) 566-5265
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1568004398
LBN Legal business name Jackson, Shavoka L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2019
Last updated Feb 4th, 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.

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