Individual provider · Type 1 NPI

Shavonta Jackson, CNA

Nurse's Aide · Stone Mountain, GA

NPI number 1336883602 Active

Practice location

1607 Barrington Vw
Stone Mountain, GA 30087-1846

Specialties and licenses

Taxonomy	Code	License
Nurse's Aide Primary	376K00000X	CN0028901061 (GA)

Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…

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About NPI 1336883602

Shavonta Jackson, CNA's National Provider Identifier is 1336883602, issued on Apr 23, 2022. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Stone Mountain, GA. The record was last updated on Apr 23, 2022.