Individual provider · Type 1 NPI

Shonta Jackson

Home Health Agency · Charlotte, NC

NPI number 1013511070 Active

Practice location

8301 Pence Rd Apt B
Charlotte, NC 28215-4357

Call (803) 342-0553 Map

Other practice locations

8301 Pence Rd Apt B, Charlotte, NC 28215-4357 · (803) 342-0553

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	None listed

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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About NPI 1013511070

Shonta Jackson's National Provider Identifier is 1013511070, issued on Nov 30, 2020. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Charlotte, NC. The record was last updated on Nov 30, 2020.