Jamie Weaver Shedden, MSN, ACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

R856481 Issued in MS

Practice address

400 Veterans Ave
Biloxi, MS 39531-2410

Phone

(228) 523-5471

Fax

(228) 523-4971

NPI assigned

Jun 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Jamie Weaver Brockman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1689610396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 RED OAK DR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395072821",
            "telephone_number": "228-865-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 VETERANS AVE",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395312410",
            "telephone_number": "228-523-5471",
            "fax_number": "228-523-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEDDEN",
        "first_name": "JAMIE",
        "middle_name": "WEAVER",
        "name_prefix": "Mrs.",
        "credential": "MSN, ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "R856481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "BROCKMAN",
            "middle_name": "WEAVER",
            "prefix": "MRS.",
            "credential": "MSN, ACNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Josh Shank
• Roderick Joseph Shanks Sr.
• Katelyn M Sharpe, PHD
• Shaunacey Valdez
• Sara Shaw, MA
• Christopher L Shelby, M.D.
• Madeline Sheller, PHARMD
• Jeanie Rose Sherman, LCSW
• Susan Northup Shimel, MS, RD, LDN
• Shirley Hilliard LCSW PLLC

• Acute Care Nurse Practitioner in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Acute Care Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.