Shelia L. Jackson (NPI# 1982956108, PAC ID# 6901977164) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1982956108 |
| PAC ID by PECOS | 6901977164 |
| Professional Enrollment ID | I20130624000481 |
| Full Name | Shelia L. Jackson |
| Organization Legal Name | SHREVEPORT FAMILY MEDICINE INC |
| Address |
7505 Pines Rd Suite 1250 Shreveport LA 71129-3927 |
| Phone Number | 3186863770 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4789667072 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190041 | CHRISTUS HEALTH SHREVEPORT - BOSSIER |
| Address | Phone | Organization |
|---|---|---|
| 7505 Pines Rd, Suite 1250, Shreveport, LA 71129-3927 | 3186863770 | SHREVEPORT FAMILY MEDICINE INC |
| 7505 Pines Rd, Shreveport, LA 71129-3927 | 3186863770 | SHREVEPORT FAMILY MEDICINE INC |
| Organization Legal Name | SHREVEPORT FAMILY MEDICINE INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaschandria I Bailey | Nurse Practitioner | Shreveport Family Medicine Inc | 7505 Pines Rd, Suite 1250, Shreveport, LA 71129-3927 |
| Street Address |
7505 PINES RD SUITE 1250 |
| City | SHREVEPORT |
| State | LA |
| Zip | 71129-3927 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaschandria I Bailey | Nurse Practitioner | Shreveport Family Medicine Inc | 7505 Pines Rd, Suite 1250, Shreveport, LA 71129-3927 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James P Murphy | Optometry | 6235 Westport Ave, Shreveport, LA 71129-2503 | |
| Tonya M Clayton | Internal Medicine | 6821 Pines Rd, Suite 200, Shreveport, LA 71129-2547 | |
| James S May | Family Medicine | Wk Pines Road Family Medicine | 6821 Pines Rd, Suite 100, Shreveport, LA 71129-2547 |
| Kaytlin H Hughes | Nurse Practitioner | Wk Pines Road Family Medicine | 6821 Pines Rd, Suite 100, Shreveport, LA 71129-2547 |
| Dharam P Gurwara | Physical Medicine and Rehabilitation | 6821 Pines Rd, Suite 400, Shreveport, LA 71129-2547 | |
| Abubakar D Ibrahim | Emergency Medicine | 6821 Pines Rd, Suite 300, Shreveport, LA 71129-2547 | |
| Krishna Raj Singh | Internal Medicine | 6821 Pines Rd, Suite 400, Shreveport, LA 71129-2547 | |
| Mark D Guice | Chiropractic | 7645 Pines Rd, Shreveport, LA 71129-3905 | |
| Antwan Butler | Clinical Social Worker | Peaceful Alternatives Counseling and Therapy LLC | 5902 Buncombe Rd, Shreveport, LA 71129-4004 |
| Derrick L Stevenson | Clinical Social Worker | 12117 Providence Rd, Shreveport, LA 71129-8521 | |
| Find all physicians in zip 71129 | |||
| City | SHREVEPORT |
| Zip Code | 71129 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SHREVEPORT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shelia L. Jackson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.