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Individual
SHANDRIKA JACKSON
Active
Individual
SHANDRIKA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
252054
TN
372500000X
Chore Provider
—
NULL
372600000X
Adult Companion
—
NULL
3747A0650X
Attendant Care Provider
—
NULL
3747P1801X
Personal Care Attendant
—
NULL
374T00000X
Religious Nonmedical Nursing Personnel
—
NULL
374U00000X
Home Health Aide
—
NULL
376J00000X
Homemaker
—
NULL
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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