Jackson, Shannon Laura

Jackson, Shannon Laura is an individual health care provider with primary practice located at 2301 Erwin Rd , Durham NC 27705-4699. She recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as her primary health care specialty. Jackson, Shannon Laura can be contacted via phone (530) 220-4806.

Contact Information

Primary practice address
2301 Erwin Rd Durham NC 27705-4699
Phone: (530) 220-4806
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 294964 North Carolina

Profile Details

NPI number 1235766601
LBN Legal business name Jackson, Shannon Laura
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2020
Last updated Mar 25th, 2020 - about 5 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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