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Shenikwa Wallace-jackson
Home Health Aide in Palm Bay, Florida
NPI 1598287187

Shenikwa Wallace-jackson is a Home Health Aide based in Palm Bay, FL. Shenikwa Wallace-jackson practices in Palm Bay, FL. The NPI Number for Shenikwa Wallace-jackson is 1598287187 and holds a License No. (Florida).

The current practice location address for Shenikwa Wallace-jackson is 177 Daffodil Dr Sw # D102, Palm Bay, FL and can be reached out via phone at 321-223-2659.

Location: 177 Daffodil Dr Sw # D102, Palm Bay, FL, 32908-3329
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598287187
Provider Name
Shenikwa Wallace-jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
177 Daffodil Dr Sw # D102, Palm Bay, FL, 32908-3329
Phone Number
321-223-2659
Fax Number
Provider Enumeration Date
07/14/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
822161617 05 FL
institution
Provider Business Practice Location Address Details
Address
177 Daffodil Dr Sw # D102
City
Palm Bay
State
Florida
Zip
32908-3329
Phone Number
321-223-2659
Fax Number
person
Provider Business Mailing Address Details
Address
177 Daffodil Dr Sw # D102
City
Palm Bay
State
Florida
Zip
32908-3329
Phone Number
321-223-2659
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
374U00000X
License No.
(Florida)
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
(Florida)
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
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