SHANIQUEWA JACKSON

DURHAM, NC
NPI1154992816
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: NC  5014661)
Enumeration Date2021-07-05
Last Update Date2021-07-05
Business Address
SHANIQUEWA JACKSON NNP-BC
2424 ERWIN RD STE 504
DURHAM, NC 27705-3826
Phone number: 919-681-5551
Mailing Address
SHANIQUEWA JACKSON NNP-BC
524 LOUISE WILSON LN APT 201
WINSTON SALEM, NC 27101-2083
Phone number: 704-726-9162
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