NPI 1497145189

Shaylie Jackson

Practitioner Other Technician Virginia Beach, VA

Practice location

Address: 525 First Colonial Rd, Virginia Beach, VA 23451-6119
Phone: (757) 428-2666
Fax: (757) 451-7307

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence 0230023817 (VA)

Other Technician, Other providers in Virginia →

Registry record

NPI: 1497145189
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Feb 2015
Record last updated: 2 Feb 2015

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.