Individual ProviderShirley JacksonRegistered NurseNursing Service ProvidersPractice Address7600 Geogia Ave, Suite 323, Washington, DC 20012(202) 723-3060PECOS EnrollmentBased on the most recent information from CMS, provider Shirley Jackson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1982943486Provider TypeIndividualFull NameJackson, ShirleyGenderFemaleSole ProprietorNoEnumeration Date2/5/2013Last Updated2/5/2013Contact InformationPractice LocationPractice Address7600 Geogia Ave, Suite 323, Washington, DC 20012Phone(202) 723-3060Fax(202) 723-3065Mailing LocationMailing Address7600 Geogia Ave, Suite 323, Washington, DC 20012Phone(202) 723-3060Fax(202) 723-3065Provider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicenseRN57555District of Columbia