Individual provider Active NPI

Jayde Sharp, RN

  • General Practice Registered Nurse
  • Meridian, MS
National Provider Identifier
1003724428
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
R867003 Issued in MS
Practice address
1801 Fuller Rd
Meridian, MS 39309-5003
Phone
(601) 679-2039
Fax
(601) 679-3232
NPI assigned
Aug 28, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X R867003 MS Primary

Addresses

Primary practice location

1801 Fuller Rd
Meridian, MS 39309-5003

Mailing address

1801 Fuller Rd
Meridian, MS 39309-5003
Phone (601) 679-2039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1003724428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 FULLER RD",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393095003",
            "telephone_number": "601-679-2039",
            "fax_number": "601-679-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 FULLER RD",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393095003",
            "telephone_number": "601-679-2039",
            "fax_number": "601-679-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "JAYDE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-28",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MS",
            "license": "R867003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.