Shanita Beard
In Home Supportive Care in Jackson, TN. Individual provider (NPI-1).
NPI number1033870449
StatusActive
Last updated in NPPESOct 23, 2026
Details
- NPI
- 1033870449
- Entity type
- Individual (NPI-1)
- Name
- Shanita Beard
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 7, 2022
- Certification date
- Oct 23, 2026
- Last updated
- Oct 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | L000000026677 | TN | Yes |
Practice location
100 Corinthian Cv Apt G103Jackson, TN 38305-3267
Phone 731-803-8929
Mailing address
100 Corinthian Cv Apt G103Jackson, TN 38305-3267
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