Individual provider · Type 1 NPI
Maria Shauntee Jackson
Family Nurse Practitioner · Waycross, GA
NPI number
1417875469
Active
Practice location
PO Box 398
Waycross, GA 31502-0398
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APRN-NP180801 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1417875469
Maria Shauntee Jackson's National Provider Identifier is 1417875469, issued on Jul 8, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Waycross, GA. The record was last updated on Jul 8, 2026.