Individual
SHARON L JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
50 PLEASANT ST, NORTHAMPTON, MA 01060-4127
(413) 584-6855
Mailing address
2100 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5832
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
106230
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760596480
—
SC
Enumeration date
11/06/2008
Last updated
01/26/2022
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