Sheba J Jackman, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F02210388 Issued in FL

Practice address

17644 SW 9TH St
Pembroke Pines, FL 33029-4844

Phone

(305) 302-6403

NPI assigned

May 31, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655596800000",
    "number": "1740929686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17644 SW 9TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330294844",
            "telephone_number": "305-302-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17644 SW 9TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330294844",
            "telephone_number": "305-302-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKMAN",
        "first_name": "SHEBA",
        "middle_name": "J",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-06-19",
        "certification_date": "2022-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F02210388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elitsa Ivanova, MD
• Geylin Izquierdo Jimenez, DDS
• Paola Izquierdo, APRN
• J.M. Dental Group Inc
• J.R.Therapy Inc
• Melissa Jackson-Pownall, LMHC
• Belliaminowa Viloria Jackson, MD
• Douglene J Jackson, PHD, OTR/L, LMT, ATP
• John Edward Jackson, BS MS,LMHC,CAP
• Sandina Samantha Jackson, APRN

• Family Nurse Practitioner in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2022; 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.