Shonta Jackson

Practice location

Address

8301 Pence Rd APT B, Charlotte, NC 28215-4357

Phone

(803) 342-0553

Registered specialties

Registry record

NPI

1013511070

Entity type

Individual

Sex (as registered)

Female

NPI issued

30 Nov 2020

Record last updated

30 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.