MS. SHAVOKA JACKSON

Home Health Aide

Active Individual
NPI: 1568004398

Practice Address

20375 SECRETARIAT
Gulfport, MS 39503

Phone: (601) 566-5265

Specialties

Specialty Code Primary License
Home Health Aide 374U00000X Yes -

Frequently Asked Questions

NPI 1568004398 is the National Provider Identifier for MS. SHAVOKA JACKSON, a Home Health Aide provider located in Gulfport, MS. This NPI was enumerated on October 14, 2019.
MS. SHAVOKA JACKSON practices at 20375 SECRETARIAT, Gulfport, MS 39503.

Quick Facts

NPI
1568004398
Type
Individual
Enumerated
Oct 14, 2019
Last Updated
Feb 4, 2020

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