Shalise Tina Jackson is a specialist in Cedar City, UT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Shalise Tina Jackson NPI is 1700391182. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
245 E 680 S
CEDAR CITY, UT
ZIP 84720-593
Phone: (435) 867-7654
Fax: (435) 867-7699
The enumeration date for this NPI number is 12/7/2017 and was last updated on 12/7/2017.