SHERYL JACKSON


Address: 60 W Sunbridge Dr, Fayetteville, AR 72703-1822
Phone: 4797502020

SHERYL JACKSON (NPI# 1104214576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104214576
Entity Type Individual
Full Name SHERYL JACKSON
Practice Address 60 W Sunbridge Dr
Fayetteville
AR 72703-1822
Mailing Address 2400 S 48th St
Springdale
AR 72762-6683
Practice Telephone 4797502020
Practice Fax Number 4797504843
Mailing Telephone 4797502020
Mailing Fax Number 4797504843
Enumeration Date 2015-01-07
Last Update Date 2016-08-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Providers SHERYL JACKSON

NPI Name Taxonomy Address Enumeration
1174888614 Sheryl Patricia Jackson Social Worker 846 East 231st Street, Bronx, NY 10466 2012-07-11
1598044687 Sheryl Swoopes Jackson Durable Medical Equipment & Medical Supplies 10764 S Gessner Dr, Houston, TX 77071-3509 2011-08-08
1619149085 Sheryl L. Jackson Audiologist 963 Town Center Drive, Suite 100, Orange City, FL 32763-8254 2008-03-26
1871523308 Sheryl R Jackson Psychologist 1215 Hall-johnson Rd, Ste 100, Colleyville, TX 76034 2006-07-03
1841607207 Sheryl Jackson Counselor 3003 Hospital Dr, Suite 025 - Ground Floor, Cheverly, MD 20785-1194 2014-07-17
1881020501 Sheryl D Jackson Counselor 909 E State Blvd, Fort Wayne, IN 46805-3404 2013-09-26
1336293323 Sheryl Jane Jackson Nurse Practitioner 636 Saint Anne St, Suite 100, Rapid City, SD 57701-4694 2007-01-23

Office Location

Street Address 60 W SUNBRIDGE DR
City FAYETTEVILLE
State AR
Zip Code 72703-1822

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992743942 Joyce Marie Prowell Social Worker 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 2006-06-03
1487255717 Kati Street Counselor 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 2020-11-03
1053912360 Kaitlyn Smith Social Worker 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 2020-11-03
1508467838 Taylor Williams Case Manager/Care Coordinator 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 2020-11-03
1073112264 Monica Vasiloff Case Manager/Care Coordinator 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 2020-10-20
1720687981 Taylor Walker Counselor 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 2020-10-20
1740889906 Catherine Rievert Social Worker 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 2020-10-20
1215534268 Adam Kelley Case Manager/Care Coordinator 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 2020-10-02
1710591631 Haley Martin Case Manager/Care Coordinator 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 2020-09-08
1649884560 Henry Smith Counselor 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 2020-09-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477154391 Margaret Sorrells Pharmacist 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 2020-11-06
1497369631 Justin A Rand Massage Therapist 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 2020-09-04
1235777558 Washington Regional Medical System Specialist 3264 N North Hills Blvd, Fayetteville, AR 72703 2019-12-17
1760024582 Haley Brooke Thompson Occupational Therapist 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 2019-10-14
1306492129 Bhg L, LLC Clinic/Center 8 Colt Square Drive, Fayetteville, AR 72703 2019-08-16
1306406269 Idell Marie Mitchell Optometrist Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 2019-06-13
1821574815 Toni Myer Nurse Practitioner 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 2018-07-13
1306340393 Josh Kelfer Student in an Organized Health Care Education/Training Program 1125 North College Avenue, Fayetteville, AR 72703 2018-03-22
1649726449 Vantage Point of Nwa Community/Behavioral Health 4171 N. Crossover Rd, Fayetteville, AR 72703 2016-08-31
1386097137 Jason Nordstrom Speech-Language Pathologist 2664 N Valencia Ave, Fayetteville, AR 72703 2016-07-18
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619583432 Don Del-raye Jones Counselor 521 Rempstone Ln, Fayetteville, NC 28311-5501 2020-09-17
1023628278 Quadiedra Amos Counselor 3675 Fallstaff Dr, Fayetteville, NC 28306-9079 2020-08-03
1699385963 William Jones Counselor 4250 Clinton Rd Ste 102, Fayetteville, NC 28312-8517 2020-08-03
1952919573 Bianca Thomas Counselor 2713 Lake Club Dr, Fayetteville, NC 28304-5349 2020-07-20
1962029546 Deanna Dale Dunn Counselor 767 W North St Ste 112, Fayetteville, AR 72701-1865 2020-06-30
1053937490 Balance Ground Counseling LLC Counselor 240 Lofty Eagle Ln, Fayetteville, GA 30214-3531 2020-06-22
1659994010 Martanika Michelle Smith Counselor 351 Wagoner Dr Ste 105, Fayetteville, NC 28303-4608 2020-05-20
1477188985 Qiana Tamieka Gatling Counselor 4417 Briton Cir, Fayetteville, NC 28314-2401 2020-03-04
1467086496 The Pair Center for Couples Counseling Pllc Counselor 5085 Morganton Road, Suite 300, Fayetteville, NC 28314 2020-02-28
1194359182 Meredith Leigh Kimbrough Counselor 31 E Center St Ste 210, Fayetteville, AR 72701-5391 2020-02-27
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Competitor

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City FAYETTEVILLE
Zip Code 72703

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Dataset Information

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.

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