SearchNew York101YM0800X

Shanika Jackson

NPI 1356125157 · on the registry since 2023 · sole proprietor

Practice

Address
330 Hunters Ln
Williamsville, NY 14221
Phone
(716) 424-7335

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YA0400X
251E00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-03-21

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 New York