| Sharon Lisa Jackson, | |
|
12 Eastbrook Bnd, Peachtree City, GA 30269-1530 | |
| (770) 487-3330 | |
| Not Available |
| Full Name | Sharon Lisa Jackson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 12 Eastbrook Bnd, Peachtree City, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720587413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN209629 (Georgia) | Primary |
| Entity Name | Joint Regeneration & Anti-aging Of |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073116554 PECOS PAC ID: 8527479021 Enrollment ID: O20201203002328 |
| Mailing Address | Practice Location Address |
|---|---|
| Sharon Lisa Jackson, 12 Eastbrook Bnd, Peachtree City, GA 30269-1530 Ph: (770) 487-3330 | Sharon Lisa Jackson, 12 Eastbrook Bnd, Peachtree City, GA 30269-1530 Ph: (770) 487-3330 |
Mrs. Lorene Greene, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1975 Highway 54 W, Suite 150, Peachtree City, GA 30269 Phone: 770-786-5000 Fax: 404-588-2624 | |
Mrs. Melissa Lynn Catherine Harvey, MSN, FNP-C, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Lexington Cir, Peachtree City, GA 30269 Phone: 866-389-2727 | |
Melissa Kristine Petersen, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1401 Georgian Park Ste 200, Peachtree City, GA 30269 Phone: 770-632-8909 | |
Pauline Kpannah, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 564 Crosstown Dr, Peachtree City, GA 30269 Phone: 770-282-2944 | |
Sini Poulose, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 215 Willow Bend Rd, Peachtree City, GA 30269 Phone: 770-681-0157 | |
Tya Wright, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 564 Crosstown Dr, Peachtree City, GA 30269 Phone: 770-282-2944 | |
Sydney Mason Weaver, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 215 Willow Bend Rd, Peachtree City, GA 30269 Phone: 770-681-0157 |