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Shawndrya Jackson

NPI 1477258564 · on the registry since 2023 · sole proprietor

Practice

Address
3787 Highland Rd
Cleveland, OH 44111
Phone
(216) 801-7016

Registry record

Primary taxonomy
251J00000X
251J00000X
Also registered as
163W00000X
172A00000X
246RP1900X
251X00000X
332U00000X
343900000X
253Z00000X
347C00000X
376J00000X
385H00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-02-21

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