| NPI | 1386495067 |
|---|---|
| Professional Name | SHANTE' JACKSON-BARNES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 85956) |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2026-08-12 |