CRADEJA SHOVON JACKSON
NPI 1386322634
Home Health Aide in Florence, SC
About Cradeja Shovon Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRADEJA SHOVON JACKSON (NPI 1386322634) is an individual home health aide in Florence, South Carolina and active in the NPI registry since July 2023.
NPPES Registry Identity
Specialties & Licenses
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 Cradeja Jackson's NPI number?
The NPI number for Cradeja Jackson is 1386322634. It was assigned to this individual provider in the NPPES registry on July 7, 2023.
Where is Cradeja Jackson located?
Cradeja Jackson practices at 715 King Ave, Florence, SC 29501. The listed phone number is (843) 319-7055.
What is Cradeja Jackson's specialty?
The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.
When was this NPI record last updated?
The NPPES record for Cradeja Jackson was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Cradeja Shovon Jackson · NPI 1386322634
Home Health Aide provider in Florence, South Carolina. Individual provider, active in the CMS NPPES registry since July 7, 2023.
## Identity
- **NPI:** 1386322634 (Entity type: Individual)
- **Enumerated:** July 7, 2023
- **Primary specialty:** Home Health Aide · taxonomy 374U00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 715 KING AVE, Florence, SC 29501-4332
- **Phone:** (843) 319-7055
## Record status
- **NPPES last updated:** July 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1386322634) · Data from the CMS NPPES public registry.