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Shannon Jackson
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NPI Number Detailed Information
Provider Information:
Name: | Shannon Jackson |
Gender: | F |
Provider License Number If Given: |
NPI Information:
NPI: | 1144427329 |
Entity Type(Individual or Organization): | 1-ind |
Enumeration Date: | 6/29/2007 |
Last Update Date: | 7/8/2007 |
Provider Business Mailing Address:
Address: | 507 E BROADWAY ST South Bend, IN 46601 |
Phone Number: | |
Fax Number: |
Provider Business Practice Location Address:
Address: | 1950 RIDGEDALE RD South Bend, IN 46614 |
Phone Number: | 5742916722 |
Fax Number: |
Provider Taxonomy:
Primary: | 247200000X |
Secondary (if any): | |
State: | IN |
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About Shannon Jackson
Shannon Jackson ( SHANNON JACKSON ) is A Technician, Other Physician in South Bend, IN.
The NPI Number for Shannon Jackson is 1144427329.
The current location address for Shannon Jackson is 1950 RIDGEDALE RD South Bend, IN 46614 and the contact number is and fax number is .
The mailing address for Shannon Jackson is 507 E BROADWAY ST South Bend, IN 46601- 5742916722 (mailing address contact number - ).
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
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FAQs:
What is the NPI Number for Shannon Jackson ?
Answer: The NPI Number for Shannon Jackson is 1144427329
Where is Shannon Jackson located?
Answer: Shannon Jackson is located at 1950 RIDGEDALE RD South Bend, IN 46614.
What is the specialty for Shannon Jackson ?
Answer: The Specialty of Shannon Jackson is A Technician, Other Physician.
Are there any online reviews for Shannon Jackson ?
Answer: Not yet!
Are there any other health care providers in South Bend, IN?
Answer: Yes, there are given below...
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Shannon Jackson in Other Directories
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