DR. SHEENA DAMITA JACKSON (NPI# 1902360787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902360787 |
| Entity Type | Individual |
| Full Name | DR. SHEENA DAMITA JACKSON |
| Credential | NP-C |
| Practice Address |
810 Saint Vincents Dr Birmingham AL 35205-1601 |
| Mailing Address |
819 Hampton Rd Birmingham AL 35221-3034 |
| Practice Telephone | 2059397000 |
| Mailing Telephone | 2053058072 |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
1-109749 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194271502 | Sheena N Jackson | Developmental Therapist | 303 White Dogwood Dr, Bowling Green, KY 42101 | 2016-08-27 |
| 1003105396 | Sheena Lene Jackson | Specialist | 1965 Schieffelin Ave, #1c, Bronx, NY 10466-5614 | 2011-04-07 |
| 1962034389 | Sheena Anniece Jackson | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Usagpan, 3551 Roger Brooke Drive, Jbsa-fort Sam Houston, TX 78234-4504 | 2020-02-05 |
| 1235503152 | Sheena S Jackson | Dietitian, Registered | 508 Fulton St, Durham, NC 27705-3875 | 2015-11-16 |
| Street Address |
810 SAINT VINCENTS DR |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35205-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841298999 | St. Vincent's Birmingham | General Acute Care Hospital | 810 Saint Vincents Dr, Birmingham, AL 35205-1601 | 2005-07-12 |
| 1861092546 | Ayshea J Henry | Registered Nurse | 810 Saint Vincents Dr, Birmingham, AL 35205-1601 | 2020-10-30 |
| 1770107005 | Randall Chiappetti | Nurse Anesthetist, Certified Registered | 810 Saint Vincents Dr, Birmingham, AL 35205-1601 | 2020-06-02 |
| 1134742653 | Emily Marion Higgins | Nurse Anesthetist, Certified Registered | 810 Saint Vincents Dr, Birmingham, AL 35205-1601 | 2020-05-19 |
| 1154943777 | Matthew Hunter Speeg | Nurse Anesthetist, Certified Registered | 810 Saint Vincents Dr, Birmingham, AL 35205-1601 | 2020-05-18 |
| 1235751199 | Corey Ellis Sumner | Nurse Anesthetist, Certified Registered | 810 Saint Vincents Dr, Birmingham, AL 35205-1601 | 2020-05-14 |
| 1336761121 | Dwight David Driskell | Nurse Anesthetist, Certified Registered | 810 Saint Vincents Dr, Birmingham, AL 35205-1601 | 2020-05-14 |
| 1548881451 | Logan Mccall Sawyer | Pharmacist | 810 Saint Vincents Dr, Birmingham, AL 35205-1601 | 2020-05-01 |
| 1356961817 | Elizabeth Middleton Baumann | Registered Nurse | 810 Saint Vincents Dr, Birmingham, AL 35205-1695 | 2020-04-24 |
| 1487273868 | Richelle Chambliss | Pharmacist | 810 Saint Vincents Dr, Birmingham, AL 35205-1601 | 2020-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124547674 | Serve Home Health Care Agency, LLC | In Home Supportive Care | 2230 Green Springs Hwy S, Birmingham, AL 35205 | 2017-09-15 |
| 1457870487 | Marilyn Bennett Pinson | Pharmacist | Walgreens Store #15144, 3020 Clairmont Ave S, Birmingham, AL 35205 | 2017-09-11 |
| 1639522238 | Dana Rives | Speech-Language Pathologist | St. Vincent's, Building 3, Suite 402, Birmingham, AL 35205 | 2016-07-19 |
| 1760854236 | Raymond Herring | Chiropractor | 1226 29th St S, Apt 18, Birmingham, AL 35205 | 2015-10-23 |
| 1083005813 | Absolutely Amazing Salon | Prosthetic/Orthotic Supplier | 2227 Arlington Avenue, Birmingham, AL 35205 | 2015-02-16 |
| 1396141651 | Alexandria Hutchison | Occupational Therapist | 833 Saint Vincent's Drive, Building 3, Suite 200, Birmingham, AL 35205 | 2014-11-14 |
| 1790028199 | Patrick Ross Owens | Otolaryngology | 833 Saint Vincents Dr Ste 402, Birmingham, AL 35205 | 2013-04-03 |
| 1053657452 | David Mitchell Comfort | Urology | 2716 Hanover Circle, Unit 801, Birmingham, AL 35205 | 2012-12-13 |
| 1598023632 | Kathryn Ashley Bentley | Orthopaedic Surgery | 833 St. Vincent's Drive, Bldg 3, Ste 403, Birmingham, AL 35205 | 2012-04-26 |
| 1114298510 | Natalie Elizabeth George | Physician Assistant | 2100 16th Avenue South, 202, Birmingham, AL 35205 | 2012-01-18 |
| Find all providers in zip 35205 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227197 | Lavern Snow | Nurse Practitioner | 1108 45th Street Ensley, Birmingham, AL 35208-1804 | 2020-02-14 |
| 1851802508 | Lisa Burke Ritchie | Nurse Practitioner | 1826 6th Avenue South, Birmingham, AL 35294-3328 | 2017-10-21 |
| 1306364526 | Kelly Karell Wright | Nurse Practitioner | 1813 6th Ave S., Uab Hospital, Russell Wing, M240, Birmingham, AL 35924 | 2017-09-08 |
| 1952821944 | Julie Southerland Allen | Nurse Practitioner | 933 19th St S Ste 445, Birmingham, AL 35205-3703 | 2017-06-21 |
| 1457890410 | Ellen Pantazis | Nurse Practitioner | 1250 Inverness Corners, Birmingham, AL 35242-3794 | 2017-02-22 |
| 1801347455 | Megan Sarah St John | Nurse Practitioner | 2321 Alabama Highway 150, Birmingham, AL 35244 | 2016-10-19 |
| 1932561800 | D'angelo Jones | Nurse Practitioner | 1813 6th Ave S Ste 101, Birmingham, AL 35249-6508 | 2016-03-22 |
| 1124499876 | Courtney Estes | Nurse Practitioner | Wti 260a, 1720 2nd Avenue South, Birmingham, AL 35294-3300 | 2015-10-07 |
| 1154724672 | Cori Cunningham | Nurse Practitioner | 1720 2nd Ave S # Bdb503, Birmingham, AL 35294-0004 | 2014-09-29 |
| 1740683218 | Jamie Hiebert | Nurse Practitioner | 1719 6th Avenue South Circ 312, Birmingham, AL 35294-0001 | 2014-09-29 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35205 |
Please comment or provide details below to improve the information on DR. SHEENA DAMITA JACKSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.