Jackson, Shawanda

Jackson, Shawanda is an individual health care provider with primary practice located at 3250 Zemke Avenue , Tampa FL 33621-5205. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Jackson, Shawanda can be contacted via phone (813) 827-9400.

Contact Information

Primary practice address
3250 Zemke Avenue Tampa FL 33621-5205
Phone: (813) 827-9400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 8873 South Carolina

Profile Details

NPI number 1184084063
LBN Legal business name Jackson, Shawanda
Credentials DENTAL HYGIENIST
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2016
Last updated Mar 4th, 2016 - about 10 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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