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Shannon Jackson

NPI 1235761149 · on the registry since 2020 · sole proprietor

Practice

Address
4028 Vira Rd
Stow, OH 44224
Phone
(330) 645-5655

Registry record

Primary taxonomy
253Z00000X
253Z00000X
Sex
Female
Record last updated
2020-02-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio