SHERIDA L JACKSON (NPI# 1477781201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477781201 |
| Entity Type | Individual |
| Full Name | SHERIDA L JACKSON |
| Credential | NP |
| Practice Address |
3909 Lapalco Blvd Ste 200 Harvey LA 70058-2302 |
| Practice Telephone | 5043496900 |
| Practice Fax Number | 5043404305 |
| Mailing Telephone | 5043496900 |
| Mailing Fax Number | 5043404305 |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2011-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP05608 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | LICENSE | AP05608 | 01 |
| Street Address |
3909 LAPALCO BLVD STE 200 |
| City | HARVEY |
| State | LA |
| Zip Code | 70058-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629060538 | New Orleans Dental Center | Dentist | 3909 Lapalco Blvd, Suite 202, Harvey, LA 70058-2302 | 2005-08-17 |
| 1063874410 | Eric Fernandez | Family Medicine | 3909 Lapalco Blvd, Harvey, LA 70058-2302 | 2016-03-24 |
| 1306262167 | Matthew Luis Valdes | Nurse Practitioner | 3909 Lapalco Blvd, Ste. 200, Harvey, LA 70058-2302 | 2014-03-17 |
| 1811236037 | Yong M Tan | Nurse Practitioner | 3909 Lapalco Blvd, Suite 100, Harvey, LA 70058-2302 | 2013-02-07 |
| 1407082175 | Manoj K Biswas | Obstetrics & Gynecology | 3909 Lapalco Blvd, 200, Harvey, LA 70058-2302 | 2009-06-08 |
| 1871744854 | Tracy B Bourg | Nurse Practitioner | 3909 Lapalco Blvd, Suite 100, Harvey, LA 70058-2302 | 2008-10-08 |
| 1225156755 | Dwight David Landry | Dentist | 3909 Lapalco Blvd, Suite 202, Harvey, LA 70058 | 2007-03-26 |
| 1942362389 | The Woman's Clinic of Marrero Inc | Obstetrics & Gynecology | 3909 Lapalco Blvd, Ste 200, Harvey, LA 70058-2302 | 2006-12-14 |
| 1790850774 | West Jefferson Physician Services | Family Medicine | 3909 Lapalco Blvd, Suite 100, Harvey, LA 70058-2302 | 2006-11-22 |
| 1114092673 | Angela S Miserendino | Nurse Practitioner | 3909 Lapalco Blvd, Ste. 200, Harvey, LA 70058-2302 | 2006-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144853003 | Carmen Nikita Ward-lewis | Counselor | 1901 Manhattan Blvd, Building D, Suite 104, Harvey, LA 70058 | 2020-02-19 |
| 1275023087 | Michael Ellis | Counselor | 3820 Melissa Dr, Harvey, LA 70058 | 2018-05-16 |
| 1316436447 | Affiliated Heart2heart Homecare Services, Inc. | In Home Supportive Care | 1901 Westbank Expy Ste 600, Harvey, LA 70058 | 2018-05-03 |
| 1720595804 | Alkeisha Lachelle Clark | Counselor | 4209 L Ac Couture Dr., D, Harvey, LA 70058 | 2018-01-10 |
| 1659888253 | Kevin A Velasquez | Psychologist | 81 Lake Lynn Dr, Harvey, LA 70058 | 2018-01-04 |
| 1629582937 | Tessie Hart | Counselor | 426 Manhattan Blvd., Harvey, LA 70058 | 2017-11-22 |
| 1326557562 | Lauretta Anne Gavin | Counselor | 2439 Manhattan Blvd., Suite 207, Harvey, LA 70058 | 2017-09-20 |
| 1760908792 | Eboni Dillon | Counselor | 3148 Keith Way Dr, Harvey, LA 70058 | 2017-08-22 |
| 1194246207 | Shawn Galmore | Counselor | 2808 Keithway Dr, Harvey, LA 70058 | 2017-06-28 |
| 1750811345 | Elite Learning Academy | Private Vehicle | 1913 Sugarloaf Drive, Harvey, LA 70058 | 2017-06-15 |
| Find all providers in zip 70058 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952880379 | Ashley Hunter | Nurse Practitioner | 3909 Lapalco Blvd Ste 100, Harvey, LA 70058-2377 | 2018-08-07 |
| 1174717375 | Elizabeth Voss Jackel | Nurse Practitioner | 2200 8th St, Harvey, LA 70058-4006 | 2007-08-30 |
| 1356988216 | La Vera Nelson | Nurse Practitioner | 1 Ingalls Dr, Harvey, IL 60426-3591 | 2019-12-10 |
| 1063921799 | Reda Kubilius | Nurse Practitioner | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2017-09-26 |
| 1649789876 | Jeanette Varquez | Nurse Practitioner | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2017-09-19 |
| 1356860951 | Patricia A Burge | Nurse Practitioner | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2017-09-14 |
| 1649799404 | Carmalita Lewis-buchanan | Nurse Practitioner | One Ingalls Drive, Harvey, IL 60426-3558 | 2017-09-13 |
| 1891213963 | Janet M Thompson | Nurse Practitioner | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2017-09-08 |
| 1831617364 | April M Fitts-cowley | Nurse Practitioner | 1 Ingalls Dr, Harvey, IL 60426 | 2017-09-05 |
| 1689110850 | Denise Jeanne Morales | Nurse Practitioner | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2017-01-12 |
| Find all providers in HARVEY | ||||
Please comment or provide details below to improve the information on SHERIDA L 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.