Individual
SHAWNITA SHARAY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 FAIRMONT ST NW APT 404, WASHINGTON, DC 20009-6932
(202) 425-4880
Mailing address
4826 BENNING RD SE APT 204, WASHINGTON, DC 20019-6152
(202) 867-8301
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
DC
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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