Individual provider · Type 1 NPI

Shante Jackson

Nurse's Aide · Snellville, GA

NPI number 1790428852 Active

Practice location

1597 Holly Brook Rd
Snellville, GA 30078-2219

Call (203) 725-2004 Map

Mailing address

PO Box 871
Snellville, GA 30078-0871

Specialties and licenses

Taxonomy	Code	License
Nurse's Aide Primary	376K00000X	0014217458

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 1790428852

Shante Jackson's National Provider Identifier is 1790428852, issued on Apr 17, 2022. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Snellville, GA. The record was last updated on Apr 17, 2022.