Individual
SHANTE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1597 HOLLY BROOK RD, SNELLVILLE, GA 30078-2219
(203) 725-2004
Mailing address
PO BOX 871, SNELLVILLE, GA 30078-0871
(203) 725-2004
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
0014217458
—
Other
Enumeration date
04/17/2022
Last updated
04/17/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us