National Provider Identifier
Shayla N Jackson
Shayla N Jackson is listed in the NPPES registry with a primary specialty of Social Worker in Buffalo, NY and a listed phone number of (716) 831-1977.
Profile Overview
- NPI
- 1992459580
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- February 11, 2022
- Last Updated
- February 24, 2022
Practice Location
- 699 Hertel Ave Ste 350
- Buffalo, NY 14207-2341
Phone: (716) 831-1977
Mailing Address
- 55 Dodge RD
- Getzville, NY 14068-1205
Specialties
- Social Worker (104100000X)
- Counselor (101Y00000X)
Full Record
- NPI
- 1992459580
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Shayla
- Middle Name
- N
- Mailing Street Address
- 55 Dodge RD
- Mailing City
- Getzville
- Mailing State
- NY
- Mailing ZIP Code
- 14068-1205
- Mailing Country
- US
- Mailing Phone
- (716) 831-2700
- Practice Street Address
- 699 Hertel Ave Ste 350
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14207-2341
- Practice Country
- US
- Practice Phone
- (716) 831-1977
- Enumeration Date
- February 11, 2022
- Last Updated
- February 24, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 24, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X), Counselor (101Y00000X)