SHARONDA JACKSON
NPI 1801779079
Nurse Practitioner - Psychiatric/Mental Health in Waveland, MS

Q: What is Sharonda Jackson's NPI number?

The NPI number for Sharonda Jackson is 1801779079. It was assigned to this individual provider in the NPPES registry on July 28, 2025.

Q: What is Sharonda Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Sharonda Jackson was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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 July 28, 2025

192 KACEY LN, WAVELAND, MS 39576(228) 343-1945 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sharonda Jackson NPPES

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

SHARONDA JACKSON (NPI 1801779079) is an individual psychiatric/mental health provider in Waveland, Mississippi, licensed in Mississippi (907616) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1801779079

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSHARONDA JACKSON

Location Address192 KACEY LNWaveland, MS 39576-2540

Mailing Address192 Kacey LnWaveland, MS 39576-2540 · (228) 343-1945

Phone(228) 343-1945

Sole ProprietorYes

Enumeration DateJuly 28, 2025

NPPES CertifiedJuly 27, 2025

✔ NPI 1801779079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MS · 907616

192 KACEY LN, Waveland, MS 39576

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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 Sharonda Jackson's NPI number?

The NPI number for Sharonda Jackson is 1801779079. It was assigned to this individual provider in the NPPES registry on July 28, 2025.

Where is Sharonda Jackson located?

Sharonda Jackson practices at 192 Kacey Ln, Waveland, MS 39576. The listed phone number is (228) 343-1945.

What is Sharonda Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Sharonda Jackson was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.