Shonda R Jackson
Occupational Therapy Assistant in Plainfield, New Jersey
1528360948- Practice location
- 1400 Woodland Ave, Plainfield, NJ 07060-3362
- Phone
- 908-753-1113
- Fax
- —
- Last updated
- November 18, 2010
Shonda Renne Jackson is an Occupational Therapy Assistant based in Plainfield, NJ. Shonda Renne Jackson practices in Plainfield, NJ. The NPI Number for Shonda Renne Jackson is 1528360948 and holds a License No. OTA46TA09032200 (NJ). The current practice location address for Shonda Renne Jackson is 1400 Woodland Ave, Plainfield, NJ 07060-3362 and can be reached out via phone at 908-753-1113.
Provider Profile Details
- NPI Number
- 1528360948
- Provider Name
- Shonda Renne Jackson
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1400 Woodland Ave, Plainfield, NJ 07060-3362
- Phone Number
- 908-753-1113
- Primary Taxonomy
- Occupational Therapy Assistant · 224Z00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 18, 2010
- Last Update Date
- November 18, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1400 Woodland Ave
Plainfield, NJ 07060-3362 - City
- Plainfield
- State
- New Jersey
- Zip
- 07060-3362
- Phone Number
- 908-753-1113
Provider Business Mailing Address Details
- Address
- 563 E Front St Apt B
Plainfield, NJ 07060-1411 - City
- Plainfield
- State
- NJ
- Zip
- 07060-1411
- Phone Number
- 908-561-0762
License Information
- License Number
- OTA46TA09032200
- License State
- NJ
- Taxonomy
- Occupational Therapy Assistant · 224Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Occupational Therapy Assistants near Plainfield, NJ
View all Occupational Therapy Assistants in Plainfield →- Clarity Wellness And Mental HealthRegistered Nurse, Psych/Mental Health · NPI 1801710165
- Ranada L Braswell, PMHNPRegistered Nurse, Psych/Mental Health · NPI 1992630206
- Chiamaka F Obadike, RNRegistered Nurse · NPI 1275432361
- Leslie M Del Salto De PenaNurse Practitioner, Family · NPI 1144142746
- Anthony Tirro, PT, DPTPhysical Therapist · NPI 1881458081
- Veronica Estevez, LCSWSocial Worker, Clinical · NPI 1528962677
Frequently Asked Questions
What is the NPI number of Shonda R Jackson?
The NPI number of Shonda R Jackson is 1528360948. It was assigned on November 18, 2010 and is currently active in the NPPES registry.
What is the specialty of Shonda R Jackson?
Shonda R Jackson is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in NJ under license number OTA46TA09032200.
Where does Shonda R Jackson practice?
The practice location is 1400 Woodland Ave, Plainfield, NJ 07060-3362. The office can be reached at 908-753-1113 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1528360948 directly on the NPPES registry website.