SHERYL JANE JACKSON CNP NPI 1336293323

NPI Information

NPI: 1336293323
Provider Name: SHERYL JANE JACKSON, CNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
636 SAINT ANNE ST
SUITE 100
RAPID CITY, SD
ZIP 57701
Phone: (605) 348-8000
Get Directions

Sheryl Jane Jackson, CNP is a psychiatric/mental health nurse practitioner in Rapid City, SD. Sheryl Jane Jackson, CNP NPI is 1336293323. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

636 SAINT ANNE ST
SUITE 100
RAPID CITY, SD
ZIP 57701-694
Phone: (605) 348-8000
Fax: (605) 348-4315

The enumeration date for this NPI number is 1/23/2007 and was last updated on 8/27/2015.

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
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	0244	SOUTH DAKOTA	Yes

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
1	S55816	MEDICARE UPIN	SOUTH DAKOTA
2	S5544	MEDICARE PIN
3	500006983	MEDICARE PIN

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: 4/28/2024

NPI Synchronization or Removal

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