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Shantal Jackson
NPI 1811396724 · on the registry since 2014
Practice
- Address
- 121 S Highland Ave
Apt 2b
Ossining, NY 10562 - Phone
- (914) 432-5670
- Fax
- (914) 432-5670
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-08-15
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 York