Sherron Denice Jackson, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

1-118681 Issued in AL

Practice address

386 Lee Road 4
Auburn, AL 36832-8644

Phone

(334) 740-7725

NPI assigned

Apr 29, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1932955903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 LEE ROAD 4",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368328644",
            "telephone_number": "334-740-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 LEE ROAD 4",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368328644",
            "telephone_number": "334-740-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SHERRON",
        "middle_name": "DENICE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "AL",
            "license": "1-118681",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "AL",
            "license": "1-118681",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J.Branch and Associates, LLC
• Jackson Family Therapy Services
• Candace Jackson, MCD, CCC-SLP
• Deborah Jackson
• Jessica Jackson, PHARMD
• William Stewart Jackson
• Jillain Alyce Jacobs
• Carly Jacoby
• James J. Phillips, Jr., D.M.D., P.C.
• Loretta D. James, O.D.

• Home Health Registered Nurse in Auburn, AL
• Providers in Auburn, AL by specialty
• Home Health Registered Nurse in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.