Individual provider · Type 1 NPI

Shaneeka D. Jackson

Specialist · Brooklyn, NY

NPI number 1508424201 Active

Practice location

535 Flushing Ave
Brooklyn, NY 11205-1610

Mailing address

100 Sackman St Apt 2
Brooklyn, NY 11233-3419

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1508424201

Shaneeka D. Jackson's National Provider Identifier is 1508424201, issued on May 29, 2019. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Brooklyn, NY. The record was last updated on May 29, 2019.