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DR. SHERRI LYNNE JACKSON MD NPI 1578590642


NPI Information

NPI: 1578590642
Provider Name: DR. SHERRI LYNNE JACKSON, MD
Classification: Obstetrics & Gynecology - 207VM0101X
Entity Type: Individual

Specialization: Maternal & Fetal Medicine

PECOS Registration: Yes

Address:
4901 FOREST PARK AVE
DIV OBGYN MFM AND US, STE 710
SAINT LOUIS, MO
ZIP 63108
Phone: (314) 454-8181
Get Directions

DR. Sherri Lynne Jackson, MD is a maternal and fetal medicine obstetrics gynecology in Saint Louis, MO with 20 years of experience. The provider is an obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. DR. Sherri Lynne Jackson, MD NPI is 1578590642. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

4901 FOREST PARK AVE
DIV OBGYN MFM AND US, STE 710
SAINT LOUIS, MO
ZIP 63108-495
Phone: (314) 454-8181
Fax: (314) 747-1429

The NPI 1578590642 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/26/2006 and was last updated on 4/25/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VM0101XObstetrics & GynecologyMaternal & Fetal Medicine2011004655MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1205645203MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.