Jackson, Shynetra

Jackson, Shynetra is an individual health care provider with primary practice located at 4679 Marcos Cir , Kissimmee FL 34758-2743. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Jackson, Shynetra can be contacted via phone (407) 259-6984.

Contact Information

Primary practice address
4679 Marcos Cir Kissimmee FL 34758-2743
Phone: (407) 259-6984
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN11031964 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X $$$$$$$$$ Florida

Profile Details

NPI number 1255181442
LBN Legal business name Jackson, Shynetra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2024
Last updated Mar 22nd, 2024 - about 2 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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