Provider Profile
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Source: NPPES NPI Registry
7805 HUDSON RD SUITE 190
Woodbury, MN 55125
Shantara A. Jackson is listed at 7805 Hudson Rd Suite 190, Woodbury, MN 55125. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (952) 767-4200. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
Shantara A. Jackson's National Provider Identifier is 1467314039. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Shantara A. Jackson has 1+ years experience. Registered with an NPI since 2025. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.
NPI registry
Not yet. This profile is built from public federal data and has not been confirmed by Shantara A. Jackson. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.