Shonda Jackson

NPI 1528360948 · on the registry since 2010 · sole proprietor

Practice

Address: 1400 Woodland Ave
Plainfield, NJ 07060
Phone: (908) 753-1113
Organisation at this address: Nemimed Llc
Woodlands Center Llc
Complete Care At Woodlands Llc
1400 Woodland Avenue Operations Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 11

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: NJ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2010-11-18

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 Jersey