SHARON JACKSON (NPI# 1043566383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043566383 |
| Entity Type | Individual |
| Full Name | SHARON JACKSON |
| Other Name | SHARON MENCER MATTHEWS |
| Credential | APRN, FNP |
| Practice Address |
5247 Didesse Dr Baton Rouge LA 70808 |
| Mailing Address |
8519 Pettit Rd Suite 260 Baker LA 70714 |
| Practice Telephone | 2257657632 |
| Practice Fax Number | 2252152194 |
| Mailing Telephone | 2255260013 |
| Mailing Fax Number | 2257659196 |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2018-04-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN115717 AP06897 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2309544 | 05 | |
| LA | LOUISIANA STATE BOARD OF NURSE EXAMINERS | RN115717 AP06897 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212450 | Sharon Jackson | In Home Supportive Care | 52410 Summit Avenue, St. Clairsville, OH 43950 | 2020-10-16 |
| 1891311734 | Sharon Rena Jackson | Health Educator | 4504 Lady Rita Ln, Raleigh, NC 27610-8715 | 2020-06-16 |
| 1427500123 | Sharon Jackson | Case Manager/Care Coordinator | 1000 S Elm St, Tallulah, LA 71282 | 2016-10-28 |
| 1184005738 | Sharon D Jackson | Counselor | 8031 West Center Rd Ste 207, Omaha, NE 68124 | 2015-06-09 |
| 1851719298 | Sharon Jackson | Counselor | 1604 S Santa Fe Ave Ste 603, San Jacinto, CA 92583-5062 | 2014-04-02 |
| 1649697251 | Sharon Marilyn Jackson | Counselor | 3636 Crossings Drive, Prescott, AZ 86305 | 2014-03-20 |
| 1487877387 | Sharon K. Jackson | Occupational Therapist | 9335 Riggs St, Beaumont, TX 77707-1107 | 2007-04-10 |
| 1346311008 | Sharon Denise Jackson | Nutritionist | 1425 Blue Hills Ave, Mattapan Community Health Ctr, Mattapan, MA 02126 | 2006-11-13 |
| 1134200389 | Sharon Ruth Jackson | Contractor | 2100 N. Hwy 360, Suite 1704, Grand Prairie, TX 75050-1062 | 2006-10-17 |
| 1912094335 | Sharon L Jackson | Pediatrics | 2716 Tibbets Dr, Bedford, TX 76022-6915 | 2006-10-06 |
| Street Address |
5247 DIDESSE DR |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720087828 | Lynn Bernaird Pennington | Nurse Practitioner | 5247 Didesse Dr, Baton Rouge, LA 70808-9153 | 2005-07-20 |
| 1295379485 | Deirdre Michael | Speech-Language Pathologist | 5247 Didesse Dr, Baton Rouge, LA 70808-9153 | 2019-10-31 |
| 1508373895 | Gabrielle Bolner Olson | Occupational Therapist | 5247 Didesse Dr, Baton Rouge, LA 70808-9153 | 2018-01-08 |
| 1922513589 | Melissa K Abshire | Speech-Language Pathologist | 5247 Didesse Dr, Baton Rouge, LA 70808-9153 | 2017-12-05 |
| 1144734195 | Sonia Vidrine Normand | Physical Therapist | 5247 Didesse Dr, Baton Rouge, LA 70808-9153 | 2017-11-29 |
| 1043678550 | Holly Valentine | Nurse Practitioner | 5247 Didesse Dr, Baton Rouge, LA 70808-9153 | 2016-01-29 |
| 1588076665 | Yuvraj Singh Heir | Psychiatry & Neurology | 5247 Didesse Dr, Baton Rouge, LA 70808 | 2014-05-23 |
| 1346502291 | Ashley Doughty | Occupational Therapist | 5247 Didesse Dr, Baton Rouge, LA 70808-9153 | 2012-06-15 |
| 1114285293 | Scott W Anderson | Internal Medicine | 5247 Didesse Dr, Baton Rouge, LA 70808-9153 | 2012-04-26 |
| 1194012609 | Maria Reyes Angeles | Internal Medicine | 5247 Didesse Dr, Baton Rouge, LA 70808-9153 | 2011-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313161 | Leah Michelle Dlugolecki | Student in an Organized Health Care Education/Training Program | Lsu Psychiatry Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2020-03-31 |
| 1003376302 | Kristina Pham | Student in an Organized Health Care Education/Training Program | 5246 Brittany Drive, 3rd Floor, Baton Rouge, LA 70808 | 2019-03-22 |
| 1083174486 | John Jay Hogan | Student in an Organized Health Care Education/Training Program | Lsu Emergency Medicine Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2019-03-21 |
| 1033682075 | Joseph Bertell Davis Jr. | Case Manager/Care Coordinator | 2460 College Drive, Baton Rouge, LA 70808 | 2019-01-02 |
| 1508340886 | Jennifer Miatech | Student in an Organized Health Care Education/Training Program | 8585 Picardy Ave., Medical Tower 2, Baton Rouge, LA 70808 | 2018-09-21 |
| 1700389137 | Jenee Robins | Case Manager/Care Coordinator | 2100 College Dr Apt 159, Baton Rouge, LA 70808 | 2018-03-12 |
| 1952812893 | Da Vonna Dents | Behavioral Analyst | 418 Stoney Creek Ave, Baton Rouge, LA 70808 | 2017-10-18 |
| 1962925669 | Katharine Elizabeth Blum | Counselor | 7936 Wrenwood Blvd. Ste A, Baton Rouge, LA 70808 | 2017-07-25 |
| 1801316120 | Amie Jackson | Social Worker | 5420 Corporate Blvd. Ste 308, Baton Rouge, LA 70808 | 2017-06-27 |
| 1235660713 | Melissa A Eddy-shelby | Student in an Organized Health Care Education/Training Program | 5000 Hennessy Blvs, Suite 6004, Baton Rouge, LA 70808 | 2017-03-25 |
| Find all providers in zip 70808 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684923 | On -demand Healthcare of Louisiana LLC | Nurse Practitioner | 12109 Hampton Village Ave, Baton Rouge, LA 70818-5741 | 2020-09-22 |
| 1972116424 | Kiona Brooke Hayes | Nurse Practitioner | 1224 Meridian Dr, Baton Rouge, LA 70820-5316 | 2020-08-25 |
| 1932727286 | Alise Williams | Nurse Practitioner | 3333 Drusilla Ln Ste A, Baton Rouge, LA 70809-2418 | 2020-07-13 |
| 1881211803 | Shelita Banks | Nurse Practitioner | 11622 Flamingo Dr, Baton Rouge, LA 70814-7141 | 2020-06-26 |
| 1558985457 | Erika Halphen Forbes | Nurse Practitioner | 8281 Goodwood Blvd Ste D1, Baton Rouge, LA 70806-7742 | 2020-06-05 |
| 1326676792 | Divinity Healthcare Clinic | Nurse Practitioner | 4021 We Heck Ct Ste B1, Baton Rouge, LA 70816-0405 | 2020-03-31 |
| 1477188738 | Kenisha Hampton Manuel | Nurse Practitioner | 4550 North Blvd Ste 100, Baton Rouge, LA 70806-4013 | 2020-03-06 |
| 1073157418 | Lakeva Marie Percy | Nurse Practitioner | 1522 Fig St, Baton Rouge, LA 70802-5028 | 2019-10-29 |
| 1144875162 | The Care Clinic LLC | Nurse Practitioner | 4336 North Blvd Ste 101, Baton Rouge, LA 70806-3920 | 2019-08-06 |
| 1467004127 | Eddricka Fleming Franklin | Nurse Practitioner | 5884 Benson Dr, Baton Rouge, LA 70812-2605 | 2019-07-12 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70808 |
Please comment or provide details below to improve the information on SHARON JACKSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.