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Shanette Jackson
Student in an Organized Health Care Education/Training Program in Soldotna, Alaska
NPI 1073045050

Shanette Jackson is a Student in an Organized Health Care Education/Training Program based in Soldotna, AK. Shanette Jackson practices in Soldotna, AK. The NPI Number for Shanette Jackson is 1073045050 and holds a License No. 1008236 (Alaska).

The current practice location address for Shanette Jackson is 35060 Kenai Spur Hwy, Soldotna, AK and can be reached out via phone at 907-420-4949.

Location: 35060 Kenai Spur Hwy, Soldotna, AK, 99669-7656
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073045050
Provider Name
Shanette Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
35060 Kenai Spur Hwy, Soldotna, AK, 99669-7656
Phone Number
907-420-4949
Fax Number
Provider Enumeration Date
03/30/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
35060 Kenai Spur Hwy
City
Soldotna
State
Alaska
Zip
99669-7656
Phone Number
907-420-4949
Fax Number
person
Provider Business Mailing Address Details
Address
35060 Kenai Spur Hwy
City
Soldotna
State
Alaska
Zip
99669-7656
Phone Number
907-420-4949
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
1008236 (Alaska)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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