Jackson, Shonta Renea
Jackson, Shonta Renea is an sole proprietor health care provider with primary practice located at 1500 Gun And Rod Rd , Brenham TX 77833-5811. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Jackson, Shonta Renea can be contacted via phone (713) 265-8713.Contact Information
Primary practice address
1500 Gun And Rod Rd
Brenham TX 77833-5811
Phone: (713) 265-8713
Fax: (713) 665-9710
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Licensed Vocational Nurse | 164X00000X | 206993 | Texas |
Profile Details
NPI number | 1740761394 |
---|---|
LBN Legal business name | Jackson, Shonta Renea |
Credentials | Licensed Practical Nurse (LPN) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 22nd, 2018 |
Last updated | Aug 22nd, 2018 - about 7 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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