Individual
SHANDRIKA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7844 MEADOW VALE DR, MEMPHIS, TN 38125-3143
(901) 265-4778
Mailing address
7776 FARMINGTON BLVD UNIT 383394, GERMANTOWN, TN 38183-0488
(901) 265-4778
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
252054
TN
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374T00000X
Religious Nonmedical Nursing Personnel
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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