Shaniquewa Jackson
Nurse Practitioner - Neonatal (Critical Care)
2424 Erwin Rd Ste 504
Durham
, North Carolina 27705-3826
Shaniquewa Jackson
Nurse Practitioner - Neonatal (Critical Care)
2424 Erwin Rd Ste 504
Durham
, North Carolina 27705-3826
(704) 726-9162
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About
Features
Specialties
- Nurse Practitioner - Neonatal (Critical Care)
Languages spoken
- English
Location
First Address
- Shaniquewa Jackson
- 524 Louise Wilson Ln Apt 201
- Winston Salem, NC
- Zip : 27101-2083
- Phone : (704) 726-9162
Second Address
- Shaniquewa Jackson
- 2424 Erwin Rd Ste 504
- Durham, NC
- Zip : 27705-3826
- Phone : (919) 681-5551
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 5014661 | NC |
National Provider Identifier
| NPI | 1154992816 |
|---|---|
| Provider Name | Shaniquewa Jackson |
| First Address | Winston Salem, NC 27101-2083 |
| Second Address | Durham, NC 27705-3826 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/07/2021 |
| Last Update Date | 05/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.