Individual
SHAMIKA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3922 MAKEOVER CT, ATLANTA, GA 30349-2794
(404) 917-9972
Mailing address
6740 SHANNON PKWY, STE 9 #120, UNION CITY, GA 30291
(404) 917-9972
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN290480
GA
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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