Shawna Jackson

Counselor · Tyrone, GA

Individual Active NPI

NPI number 1225531411

Practice location

100 Glendalough Ct Ste E
Tyrone, GA 30290-2942
Phone
(770) 683-9375

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NPI record

NPI
1225531411
Entity type
Individual (Type 1)
Enumeration date
March 14, 2018
Last updated
March 14, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X 5228 GA

Mailing address

914 Lakeside Way
Newnan, GA 30265-1191
Phone
(770) 683-9375

About Shawna Jackson

Shawna Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 100 Glendalough Ct Ste E, Tyrone, GA 30290-2942. The NPI number 1225531411 was assigned on March 14, 2018 and the record was last updated on March 14, 2018.

Shawna Jackson lists a license in the registry: #5228 (GA) for Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Shawna Jackson?

The NPI number is 1225531411.

What is the phone number of Shawna Jackson?

The phone number listed for the practice location is (770) 683-9375.

Where is Shawna Jackson located?

100 Glendalough Ct Ste E, Tyrone, GA 30290-2942.

What is the taxonomy code for Shawna Jackson?

The primary taxonomy code is 101Y00000X – Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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