NPI 1083037055

Shawndrea Jackson

Practitioner Contractor Houston, TX

Practice location

Address: 9530 Flying Eagle CT, Houston, TX 77083-5183
Phone: (713) 679-3592

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1083037055
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jan 2014
Record last updated: 10 Mar 2014

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.