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Shonta Jackson, LPN

NPI 1740761394 · on the registry since 2018 · sole proprietor

Practice

Address
1500 Gun And Rod Rd
Brenham, TX 77833
Phone
(713) 265-8713
Fax
(713) 665-9710

Registry record

Primary taxonomy
Licensed Vocational Nurse
164X00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-08-22
Status
Not present in the most recent federal file

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 Texas