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Shalonta Jackson
Licensed Practical Nurse in Fort Rucker, Alabama
NPI 1841893492

Shalonta Jackson is a Licensed Practical Nurse based in Fort Rucker, AL. Shalonta Jackson practices in Fort Rucker, AL. The NPI Number for Shalonta Jackson is 1841893492 and holds a License No. 2-066976 (Alabama).

The current practice location address for Shalonta Jackson is 301 Andrews Avenue, Fort Rucker, AL and can be reached out via phone at 800-261-7193.

Location: 301 Andrews Avenue, Fort Rucker, AL, 36360
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841893492
Provider Name
Shalonta Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
301 Andrews Avenue, Fort Rucker, AL, 36360
Phone Number
800-261-7193
Fax Number
Provider Enumeration Date
11/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
301 Andrews Avenue
City
Fort Rucker
State
Alabama
Zip
36360
Phone Number
800-261-7193
Fax Number
person
Provider Business Mailing Address Details
Address
301 Andrews Avenue
City
Fort Rucker
State
Alabama
Zip
36360
Phone Number
800-261-7193
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
2-066976 (Alabama)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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