Individual
SHANTIA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1818 NEW YORK AVE NE, 228, WASHINGTON, DC 20002-1848
(202) 832-8340
Mailing address
1818 NEW YORK AVE NE, 228, WASHINGTON, DC 20002-1848
(202) 832-8340
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
DC
Other
Enumeration date
05/22/2012
Last updated
09/30/2025
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