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Shatonne Jackson, LPN
NPI 1568897783 · on the registry since 2013 · sole proprietor
Practice
- Address
- 616 Ellsworth Dr
Dayton, OH 45426 - Phone
- (937) 581-5081
Registry record
- Primary taxonomy
- Nursing Facility/Intermediate Care Facility
313M00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-09-06
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 Ohio