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Shaniqua Jackson, FNP
Family Nurse Practitioner in Oak Lawn, Illinois
NPI 1801562517

Shaniqua Jackson is a Family Nurse Practitioner based in Oak Lawn, IL and is specialized in Family. Shaniqua Jackson practices in Oak Lawn, IL and has the professional credentials of FNP. The NPI Number for Shaniqua Jackson is 1801562517 and holds a License No. 209.023822 (Illinois).

The current practice location address for Shaniqua Jackson is 4440 W 95Th St, Oak Lawn, IL and can be reached out via phone at 708-684-8000.

Location: 4440 W 95Th St, Oak Lawn, IL, 60453-2600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801562517
Provider Name
Shaniqua Jackson
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
4440 W 95Th St, Oak Lawn, IL, 60453-2600
Phone Number
708-684-8000
Fax Number
Provider Enumeration Date
08/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4440 W 95Th St
City
Oak Lawn
State
Illinois
Zip
60453-2600
Phone Number
708-684-8000
Fax Number
person
Provider Business Mailing Address Details
Address
4440 W 95Th St
City
Oak Lawn
State
Illinois
Zip
60453-2600
Phone Number
708-684-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209.023822 (Illinois)
Definition
Definition to come...
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