Shonda Renne Jackson

Occupational Therapy Assistant · Plainfield, NJ

Individual Active NPI

NPI number 1528360948

Practice location

1400 Woodland Ave
Plainfield, NJ 07060-3362

Phone: (908) 753-1113

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NPI record

NPI: 1528360948
Entity type: Individual (Type 1)
Enumeration date: November 18, 2010
Last updated: November 18, 2010
Sole proprietor: Yes

Specialties & taxonomy codes

Taxonomy	Code	License	State
Occupational Therapy Assistant Primary	`224Z00000X`	OTA46TA09032200	NJ

Mailing address

563 E Front St Apt B
Plainfield, NJ 07060-1411

Phone: (908) 561-0762

About Shonda Jackson

Shonda Renne Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapy Assistant (code 224Z00000X). The practice location is 1400 Woodland Ave, Plainfield, NJ 07060-3362. The NPI number 1528360948 was assigned on November 18, 2010 and the record was last updated on November 18, 2010.

Shonda Jackson lists a license in the registry: #OTA46TA09032200 (NJ) for Occupational Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Shonda Renne Jackson?

The NPI number is 1528360948.

What is the phone number of Shonda Jackson?

The phone number listed for the practice location is (908) 753-1113.

Where is Shonda Jackson located?

1400 Woodland Ave, Plainfield, NJ 07060-3362.

What is the taxonomy code for Shonda Jackson?

The primary taxonomy code is 224Z00000X – Occupational Therapy Assistant.

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.