SHANTAY JACKSON
NPI 1629704499
Homemaker in Davenport, FL
About Shantay Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANTAY JACKSON (NPI 1629704499) is an individual homemaker provider in Davenport, Florida, licensed in Florida (422805) and active in the NPI registry since July 2022.
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 Shantay Jackson's NPI number?
The NPI number for Shantay Jackson is 1629704499. It was assigned to this individual provider in the NPPES registry on July 25, 2022.
Where is Shantay Jackson located?
Shantay Jackson practices at 1954 Marabou Dr, Davenport, FL 33896. The listed phone number is (407) 995-9094.
What is Shantay Jackson's specialty?
The primary specialty registered for this NPI is Homemaker with taxonomy code 376J00000X.
When was this NPI record last updated?
The NPPES record for Shantay Jackson was last updated on July 25, 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.
# Shantay Jackson · NPI 1629704499
Homemaker provider in Davenport, Florida. Individual provider, active in the CMS NPPES registry since July 25, 2022.
## Identity
- **NPI:** 1629704499 (Entity type: Individual)
- **Enumerated:** July 25, 2022
- **Primary specialty:** Homemaker · taxonomy 376J00000X
- **State license:** 422805 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1954 MARABOU DR, Davenport, FL 33896-8616
- **Phone:** (407) 995-9094
## Record status
- **NPPES last updated:** July 25, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1629704499) · Data from the CMS NPPES public registry.