NPI 1023784782
Shonta Monique Jackson
Practice location
- Address
- 527 N Maple St, Murfreesboro, TN 37130-2833
- Phone
- (615) 564-4984
- Mailing address
- 3219 Hopetown Way, Murfreesboro, TN 37129-0668
Registered specialties (2)
Behavior Technician
Primary
Technician
Registry record
- NPI
- 1023784782
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 Aug 2021
- Record last updated
- 20 Aug 2021
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.