Individual
MS. JACKIE SUE SHANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
401 PORPOISE POINT DR, ST AUGUSTINE, FL 32084-2959
(904) 826-4307
Mailing address
401 PORPOISE POINT DR, ST AUGUSTINE, FL 32084-2959
(904) 826-4307
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND812
FL
Other
Enumeration date
03/31/2007
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us