Shanqueata Yatrice Jackson
Driver · Rex, GA
NPI number
1548113004
Practice location
6501 Menlo WayRex, GA 30273-1624
- Phone
- (770) 557-9137
NPI record
- NPI
- 1548113004
- Entity type
- Individual (Type 1)
- Enumeration date
- February 16, 2026
- Last updated
- February 16, 2026
- Certified
- February 16, 2026
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Driver Primary | 172A00000X |
— | — |
About Shanqueata Jackson
Shanqueata Yatrice Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Driver (code 172A00000X). The practice location is 6501 Menlo Way, Rex, GA 30273-1624. The NPI number 1548113004 was assigned on February 16, 2026 and the record was last updated on February 16, 2026.
Frequently asked questions
What is the NPI number of Shanqueata Yatrice Jackson?
The NPI number is 1548113004.
What is the phone number of Shanqueata Jackson?
The phone number listed for the practice location is (770) 557-9137.
Where is Shanqueata Jackson located?
6501 Menlo Way, Rex, GA 30273-1624.
What is the taxonomy code for Shanqueata Jackson?
The primary taxonomy code is 172A00000X – Driver.
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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