| Shante Octavia Jackson, LPN | |
|
50 E Willow Grove Ave Apt 1, Phila, PA 19118-3464 | |
| (856) 514-0073 | |
| Not Available |
| Full Name | Shante Octavia Jackson |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 50 E Willow Grove Ave Apt 1, Phila, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982594313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LPN303611 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shante Octavia Jackson, LPN 50 E Willow Grove Ave Apt 1, Phila, PA 19118-3464 Ph: (856) 514-0073 | Shante Octavia Jackson, LPN 50 E Willow Grove Ave Apt 1, Phila, PA 19118-3464 Ph: (856) 514-0073 |
Adrieanna Trapp, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1919 Cottman Ave, Phila, PA 19111 Phone: 267-274-7041 |
Erica James-pindle, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1323 S 47th St, Phila, PA 19143 Phone: 215-669-0150 |
Ms. Tina J Powell, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 4643 N 12th St, Phila, PA 19140 Phone: 267-592-7907 |
Tecola Parks, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 6765 Germantown Ave, Phila, PA 19119 Phone: 215-403-7426 |
Edzer Jean, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 6445 Rising Sun Ave, Phila, PA 19111 Phone: 215-742-3247 |
Helah G Kwaha, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 7248 Elmwood Ave, Phila, PA 19142 Phone: 267-292-2647 Fax: 267-292-2657 |
Ms. Sia Katherine Fillie, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2146 S Broad St, Phila, PA 19145 Phone: 267-519-0672 |