SHERRELL JACKSON
NPI 1174250518
Prosthetic/Orthotic Supplier in Baltimore, MD

Q: What is Sherrell Jackson's NPI number?

The NPI number for Sherrell Jackson is 1174250518. It was assigned to this individual provider in the NPPES registry on August 5, 2022.

Q: What is Sherrell Jackson's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Q: When was this NPI record last updated?

The NPPES record for Sherrell Jackson was last updated on August 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 05, 2022

5441 BALTIMORE NATIONAL PIKE STE 4B, BALTIMORE, MD 21229(443) 516-7682 Get Directions Write a Review

NPPES record last updated: August 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Sherrell Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHERRELL JACKSON (NPI 1174250518) is an individual prosthetic/orthotic supplier provider in Baltimore, Maryland and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1174250518

Entity TypeIndividualFemale

Primary Taxonomy335E00000X

Provider Legal NameSHERRELL JACKSON

Location Address5441 BALTIMORE NATIONAL PIKE STE 4BBaltimore, MD 21229-2102

Mailing Address10 Woodstream CtOwings Mills, MD 21117-4062

Phone(443) 516-7682

Sole ProprietorYes

Enumeration DateAugust 5, 2022

NPPES CertifiedAugust 5, 2022

✔ NPI 1174250518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

5441 BALTIMORE NATIONAL PIKE STE 4B, Baltimore, MD 21229

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sherrell Jackson's NPI number?

The NPI number for Sherrell Jackson is 1174250518. It was assigned to this individual provider in the NPPES registry on August 5, 2022.

Where is Sherrell Jackson located?

Sherrell Jackson practices at 5441 Baltimore National Pike Ste 4B, Baltimore, MD 21229. The listed phone number is (443) 516-7682.

What is Sherrell Jackson's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Sherrell Jackson was last updated on August 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.