Individual provider · Type 1 NPI
Sharonda Jackson
Psychiatric/Mental Health Nurse Practitioner · Waveland, MS
NPI number
1801779079
Active
Practice location
192 Kacey Ln
Waveland, MS 39576-2540
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 907616 (MS) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1801779079
Sharonda Jackson's National Provider Identifier is 1801779079, issued on Jul 28, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Waveland, MS. The record was last updated on Jul 28, 2025.