Individual
SHAKIERA N JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3890 DUNN AVE STE 1104, JACKSONVILLE, FL 32218-6432
(904) 765-0665
Mailing address
9645 BAYMEADOWS RD APT 886, JACKSONVILLE, FL 32256-7819
(912) 222-5647
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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