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Shalaya Jackson

NPI 1285599548 · on the registry since 2025 · sole proprietor

Practice

Address
1704 E Marion St
Shorewood, WI 53211
Phone
(414) 206-9020

Registry record

Primary taxonomy
343900000X
343900000X
Sex
Female
Record last updated
2025-12-18

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 Wisconsin