Shantay Jackson
Shantay Jackson is a Homemaker in Davenport, Florida. Licensed in Florida. Registered with an NPI since 2022.
- Licensed in
- FL
- In the registry since
- 2022
Practice location Address checks out
Davenport, FLNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Homemaker (primary) | Taxonomy 376J00000X · Licence 422805 (FL) |
|---|
Record details
| NPI number | 1629704499 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 25, 2022 |
| Last updated in NPPES | July 25, 2022 |
| Certification date | July 25, 2022 |
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