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Shomari Jackson
NPI 1710437439 · on the registry since 2016
Practice
- Address
- 12801 Fair Oaks Blvd Apt 153
Citrus Heights, CA 95610 - Phone
- (916) 753-2486
- Clinicians at this address
- 4
Additional practice sites
- 3050 Beacon Blvd Ste 103, West Sacramento, CA
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-07
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 California