SHANQUEATA YATRICE JACKSON NPI 1548113004

NPI Information

  • NPI: 1548113004
  • Provider Name: SHANQUEATA YATRICE JACKSON
  • Classification: Driver - 172A00000X
  • Entity Type: Individual
  • Address: 6501 MENLO WAY
    REX, GA
    ZIP 30273
  • Phone: (770) 557-9137

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NPI Details

Shanqueata Yatrice Jackson is a driver in Rex, GA. The provider is a person employed to operate a motor vehicle as a carrier of persons or property. Shanqueata Yatrice Jackson NPI is 1548113004. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6501 MENLO WAY
REX, GA
ZIP 30273-624
Phone: (770) 557-9137

The enumeration date for this NPI number is 2/16/2026 and was last updated on 2/16/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1172A00000XDriverYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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