Individual
SHAYNA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, CMSRN, SANE
Contact information
Practice address
1012 OBERLIN RD STE 100, RALEIGH, NC 27605-3130
(919) 863-9683
Mailing address
1012 OBERLIN RD STE 100, RALEIGH, NC 27605-3130
(609) 784-3810
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
277566
NC
Other
Enumeration date
04/02/2025
Last updated
04/03/2025
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