SHETIA DONYETTE JACKSON BSW
NPI 1831698190
Contractor in Valdosta, GA

Active since February 01, 2018
4675 STONEWALL CIR, VALDOSTA, GA 31605(229) 328-7768 Get Directions Write a Review

NPPES record last updated: February 1, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Contractor

About SHETIA JACKSON

This page provides the complete NPI Profile along with additional information for Shetia Jackson, a provider established in Valdosta, Georgia with a medical specialization in Contractor. The healthcare provider is registered in the NPI registry with number 1831698190 assigned on February 2018. The practitioner's primary taxonomy code is 171W00000X. The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1831698190 Verify this NPI
Provider Name
SHETIA DONYETTE JACKSON BSW
Gender
Female
Entity Type
Individual
Location Address
4675 STONEWALL CIR VALDOSTA, GA 31605
Location Phone
(229) 328-7768
Mailing Address
4675 STONEWALL CIR VALDOSTA, GA 31605
Mailing Phone
(229) 328-7768
Is Sole Proprietor?
Yes
Enumeration Date
02-01-2018
Last Update Date
02-01-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Contractor

Taxonomy Code
171W00000X
Type
Other Service Providers
Taxonomy Description
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831698190, enumerated as an "individual" on February 01, 2018.

The provider is located at 4675 STONEWALL CIR VALDOSTA, GA 31605 and the phone number is (229) 328-7768.

Contractor with taxonomy code 171W00000X.