Search › Mississippi › 374U00000X
Shavoka Jackson
NPI 1568004398 · on the registry since 2019
Practice
- Address
- 20375 Secretariat
Gulfport, MS 39503 - Phone
- (601) 566-5265
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-02-04
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 Mississippi