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Shawndrya Jackson

Nursing Care in Cleveland, OH. Individual provider (NPI-1).

NPI number1477258564
StatusActive
Last updated in NPPESFeb 21, 2025

Details

NPI
1477258564
Entity type
Individual (NPI-1)
Name
Ms. Shawndrya Jackson
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 30, 2023
Certification date
Feb 21, 2025
Last updated
Feb 21, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251J00000X Nursing Care––Yes
163W00000X Registered NurseRN510763OH
172A00000X Driver––
246RP1900X Technician, Pathology, Phlebotomy––
251X00000X Supports Brokerage––
332U00000X Home Delivered Meals––
343900000X Non-emergency Medical Transport (VAN)––
253Z00000X In Home Supportive Care––
347C00000X Private Vehicle––
376J00000X Homemaker––
385H00000X Respite Care––

Practice location

3787 Highland Rd
Cleveland, OH 44111-5247

Phone 216-801-7016

Mailing address

3787 Highland Rd
Cleveland, OH 44111-5247

Phone 216-801-7016

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