Individual
MS. SHAWNDRYA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3787 HIGHLAND RD, CLEVELAND, OH 44111-5247
(216) 801-7016
Mailing address
3787 HIGHLAND RD, CLEVELAND, OH 44111-5247
(216) 801-7016
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN510763
OH
172A00000X
Driver
—
—
246RP1900X
Phlebotomy Technician
—
—
251J00000X
Nursing Care Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
332U00000X
Home Delivered Meals
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/30/2023
Last updated
02/21/2025
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