SHAVONTA JACKSON CNA
NPI 1336883602
Nurse's Aide in Stone Mountain, GA
About Shavonta Jackson Cna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAVONTA JACKSON CNA (NPI 1336883602) is an individual nurse's aide in Stone Mountain, Georgia, licensed in Georgia (CN0028901061) and active in the NPI registry since April 2022.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shavonta Jackson's NPI number?
The NPI number for Shavonta Jackson is 1336883602. It was assigned to this individual provider in the NPPES registry on April 23, 2022.
Where is Shavonta Jackson located?
Shavonta Jackson practices at 1607 Barrington Vw, Stone Mountain, GA 30087. The listed phone number is (678) 582-9317.
What is Shavonta Jackson's specialty?
The primary specialty registered for this NPI is Nurse's Aide with taxonomy code 376K00000X.
When was this NPI record last updated?
The NPPES record for Shavonta Jackson was last updated on April 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.