Provider Demographics
NPI:1447047287
Name:SWINSON, JAKAYLA SHANTA (CNA)
Entity type:Individual
Prefix:
First Name:JAKAYLA
Middle Name:SHANTA
Last Name:SWINSON
Suffix:
Gender:
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3621 26TH ST
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39307-4547
Mailing Address - Country:US
Mailing Address - Phone:346-268-3879
Mailing Address - Fax:
Practice Address - Street 1:3621 26TH ST
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39307-4547
Practice Address - Country:US
Practice Address - Phone:346-268-3879
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-24
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL$$$$$$$$$376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide