Individual provider · Type 1 NPI

Shakia Jackson

Student in an Organized Health Care Education/Training Program · Radford, VA

NPI number 1235693441 Active

Practice location

100 Copper Beech Dr Apt C
Radford, VA 24141-3194

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1235693441

Shakia Jackson's National Provider Identifier is 1235693441, issued on Jan 22, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Radford, VA. The record was last updated on Jan 22, 2019.