Individual
SHANNON JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
850 INDEPENDENCE AVE, AKRON, OH 44310-2541
(330) 766-8277
Mailing address
850 INDEPENDENCE AVE, AKRON, OH 44310-2541
(330) 766-8277
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.020775
OH
363LA2200X
Adult Health Nurse Practitioner
APRN.CNP.020775
OH
363LG0600X
Gerontology Nurse Practitioner
APRN.CNP.020775
OH
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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