Jackson, Shaniquewa

Jackson, Shaniquewa is an individual health care provider with primary practice located at 2424 Erwin Rd Ste 504 , Durham NC 27705-3826. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Jackson, Shaniquewa can be contacted via phone (919) 681-5551.

Contact Information

Primary practice address
2424 Erwin Rd Ste 504 Durham NC 27705-3826
Phone: (919) 681-5551
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 5014661 North Carolina

Profile Details

NPI number 1154992816
LBN Legal business name Jackson, Shaniquewa
Credentials NNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2021
Last updated Jul 5th, 2021 - about 3 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.

Request for update

Popular Providers