Decosta, Shanikka M

Decosta, Shanikka M is an sole proprietor health care provider with primary practice located at 1615 Morgan St , Jacksonville FL 32209-8100. She recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as her primary health care specialty. Decosta, Shanikka M can be contacted via phone (190) 425-0492.

Contact Information

Primary practice address
1615 Morgan St Jacksonville FL 32209-8100
Phone: (190) 425-0492
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1730838756
LBN Legal business name Decosta, Shanikka M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2022
Last updated Mar 18th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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