SHAWNTELL JACKSON

CHICAGO, IL
NPI1245703354
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.01833)
Enumeration Date2019-01-10
Last Update Date2022-10-31
Business Address
SHAWNTELL JACKSON MSN,FNP-BC
2535 SOUTH MARTIN LUTHER KING DRIVE
CHICAGO, IL 60616
Phone number: 312-842-7117
Mailing Address
SHAWNTELL JACKSON MSN,FNP-BC
29373 NETWORK PL
CHICAGO, IL 60673-1293
Phone number: 847-390-5900
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