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Search › Ohio › 164W00000X

Shantiea Jackson, LPN

NPI 1952859605 · on the registry since 2016

Practice

Address
625 Cleveland Ave Nw
Canton, OH 44702
Phone
(330) 453-8252
Fax
(330) 453-6716
Organisation at this address
Genoa Healthcare Llc
Commquest Services, Inc.
Commquest Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
195

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-09-12

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