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Shawanda Jackson, DENTAL HYGIENIST
NPI 1184084063 · on the registry since 2016
Practice
- Address
- 3250 Zemke Avenue
Tampa, FL 33621 - Phone
- (813) 827-9400
- Organisation at this address
- 6th Medgrp-Macdill
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 185
Registry record
- Primary taxonomy
- Dental Hygienist
124Q00000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-03-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida