SHARON LISA JACKSON (NPI# 1720587413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720587413 |
| Entity Type | Individual |
| Full Name | SHARON LISA JACKSON |
| Practice Address |
12 Eastbrook Bnd Peachtree City GA 30269-1530 |
| Practice Telephone | 7704873330 |
| Mailing Telephone | 7704873330 |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2018-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN209629 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| 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 |
12 EASTBROOK BND |
| City | PEACHTREE CITY |
| State | GA |
| Zip Code | 30269-1530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083605281 | Ann E Eggert | Pediatrics | 12 Eastbrook Bnd, Peachtree City, GA 30269-1530 | 2005-11-04 |
| 1689188450 | Virginia Davidson | Nurse Practitioner | 12 Eastbrook Bnd, Peachtree City, GA 30269-1530 | 2017-11-30 |
| 1962883090 | Holly Christine Smith | Nurse Practitioner | 12 Eastbrook Bnd, Peachtree City, GA 30269-1530 | 2015-06-15 |
| 1639489180 | Shaquita Estes | Nurse Practitioner | 12 Eastbrook Bnd, Peachtree City, GA 30269-1530 | 2010-10-18 |
| 1437319951 | Peachtree Pediatrics PC | Pediatrics | 12 Eastbrook Bnd, Peachtree City, GA 30269-1530 | 2008-06-10 |
| 1972667517 | Teresa Kay Lane | Nurse Practitioner | 12 Eastbrook Bnd, Peachtree City, GA 30269-1530 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992772 | Brian Voyles | Pharmacist | 130 Peachtree East Ct, Ste #4, Peachtree City, GA 30269 | 2020-08-13 |
| 1871133066 | Imani Scott | Physical Therapist | 1280 Hwy 74 S Ste 210, Peachtree City, GA 30269 | 2020-01-15 |
| 1477191898 | Sandra Jo Aletraris | Counselor | 105 Camp Creek Trail, Peachtree City, GA 30269 | 2019-12-16 |
| 1295372696 | Jovon Erika Caldwell Taylor | Nurse Practitioner | 125 Governors Square, Suite B, Peachtree City, GA 30269 | 2019-12-04 |
| 1376191106 | Ryan Goldfine Dpm LLC | Podiatrist | 3451 Ernest W Barrett Pkwy Suite 170, Mariettta, GA 30269 | 2019-08-26 |
| 1740834092 | Shenitta Guyton | Psychologist | 619 Grecken Grn, Peachtree City, GA 30269 | 2019-07-25 |
| 1063971463 | Sarah Elizabeth Epps | Speech-Language Pathologist | 156 Peachtree East #149, Peachtree City, GA 30269 | 2019-03-15 |
| 1689139362 | Resiliency Behavioral Health Services LLC | Counselor | 145 Govenors Square, Ste A, Fayetteville, GA 30269 | 2019-02-06 |
| 1790256931 | Change of Life Companion Homecare LLC | Nurse Anesthetist, Certified Registered | 401 Topaz Trail, Peachtree City, Fayetteville, GA 30269 | 2018-12-16 |
| 1447753686 | Kelli M Shelton | Counselor | 145 A Governor's Sq., Peachtree City, GA 30269 | 2018-03-14 |
| Find all providers in zip 30269 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922567684 | Kimberly Anne Scholler | Nurse Practitioner | 407 Henredon Hl, Peachtree City, GA 30269-3213 | 2019-03-12 |
| 1760950836 | Heather Rasnake Gilbert | Nurse Practitioner | 2011 Commerce Dr N Ste 10, Peachtree City, GA 30269-3538 | 2018-11-07 |
| 1164924601 | Ladonna Sheree Doxie | Nurse Practitioner | 125 Governors Sq, Peachtree City, GA 30269-4871 | 2018-03-01 |
| 1871038679 | April Davis Roshak | Nurse Practitioner | 106 Harbor Loop, Peachtree City, GA 30269-2103 | 2017-01-03 |
| 1750418471 | Deborah Howell | Nurse Practitioner | 108 Suttons Cv, Peachtree City, GA 30269-6939 | 2007-02-28 |
| 1891831814 | Lisa Jeannine Crow Demars | Nurse Practitioner | 304 Pinemount Dr, Peachtree City, GA 30269-1237 | 2007-01-29 |
| 1427092394 | Sonya D Wade | Nurse Practitioner | 101 Lexington Cir, Peachtree City, GA 30269-6845 | 2006-06-15 |
| 1427003078 | Sandra Nicole Salter | Nurse Practitioner | 14 Eastbrook Bnd Ste 201, Peachtree City, GA 30269 | 2006-05-23 |
| 1487271169 | Lea D Aspinwall | Nurse Practitioner | 14 Eastbrook Bnd Ste 201, Peachtree City, GA 30269-1521 | 2020-06-29 |
| 1003460320 | Dena Michelle Singleton | Nurse Practitioner | 1401 Georgian Park Ste 200, Peachtree City, GA 30269-6974 | 2019-07-25 |
| Find all providers in PEACHTREE CITY | ||||
| City | PEACHTREE CITY |
| Zip Code | 30269 |
Please comment or provide details below to improve the information on SHARON LISA 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.