Individual provider Active NPI

Sheryl Briggs Wilson Jaggers, MSN-NPC

  • Nurse Practitioner
  • Cleveland, TN
National Provider Identifier
1528387107
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN14713 Issued in TN
Practice address
110 Dunhill PL NW Ste B
Cleveland, TN 37311-3870
Phone
(423) 790-7792
Fax
(423) 790-5455
NPI assigned
May 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN14713 TN Primary

Addresses

Primary practice location

110 Dunhill PL NW Ste B
Cleveland, TN 37311-3870

Mailing address

110 Dunhill PL NW Ste B
Cleveland, TN 37311-3870
Phone (423) 790-7792

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
APN14713TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bates Family Medicine, PLLC Past Accepting new patients
Community Care Clinic LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1528387107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 DUNHILL PL NW STE B",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113870",
            "telephone_number": "423-790-7792",
            "fax_number": "423-790-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 DUNHILL PL NW STE B",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113870",
            "telephone_number": "423-790-7792",
            "fax_number": "423-790-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGGERS",
        "first_name": "SHERYL",
        "middle_name": "BRIGGS WILSON",
        "credential": "MSN-NPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-22",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN14713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.