Sisely Rose Jackson, RN, CNE

Primary specialty

High-Risk Obstetric Registered NurseTaxonomy code 163WX0002X

License

RN9236361 Issued in FL

Practice address

425 SE 1St St Apt 811
Pompano Beach, FL 33060-7567

Phone

(732) 895-3700

NPI assigned

Dec 27, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1033988514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6298",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323146298",
            "telephone_number": "732-895-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 SE 1ST ST APT 811",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330607567",
            "telephone_number": "732-895-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SISELY",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "RN, CNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, High-Risk",
            "state": "FL",
            "license": "RN9236361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J&M Cares LLC
• Parivash Jaberi, MS
• Kira Beth Jackson
• Lana Roxanne Jackson, LPN
• Mavis Victoria Jackson
• Stephanie Jackson
• Susan Debra Jackson
• Rose Irmine Jacques
• Jodean Jaganaught
• Paula Jahn, JD

• Registered Nurse in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.