Active NPIIndividual providerSole proprietor

Sherieffa N Jackson, PMHNP-BC

Nurse Practitioner, Psych/Mental Health in Enfield, Connecticut

NPI Number1184407801
Practice location
150 Hazard Ave Ste C6, Enfield, CT 06082-4587
Fax
860-718-9509
Last updated
July 25, 2026

Sherieffa Nicola Jackson is a Nurse Practitioner, Psych/Mental Health based in Enfield, CT. Sherieffa Nicola Jackson practices in Enfield, CT and has the professional credentials of PMHNP-BC. The NPI Number for Sherieffa Nicola Jackson is 1184407801 and holds a License No. 12246 (CT). The current practice location address for Sherieffa Nicola Jackson is 150 Hazard Ave Ste C6, Enfield, CT 06082-4587 and can be reached out via phone at 860-467-1907 and via fax at 860-718-9509.

Provider Profile Details

NPI Number
1184407801
Provider Name
Sherieffa Nicola Jackson
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
150 Hazard Ave Ste C6, Enfield, CT 06082-4587
Phone Number
860-467-1907
Fax Number
860-718-9509
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
August 16, 2023
Last Update Date
July 25, 2026
Certification Date
July 25, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
150 Hazard Ave Ste C6
Enfield, CT 06082-4587
Zip
06082-4587
Phone Number
860-467-1907
Fax Number
860-718-9509
Enfield, CT 06082Get directions →

Provider Business Mailing Address Details

Address
150 Hazard Ave Ste C6
Enfield, CT 06082-4587
City
Enfield
State
CT
Zip
06082-4587
Phone Number
860-467-1907
Fax Number
860-718-9509

License Information

License Number
12246
License State
CT
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Sherieffa N Jackson, PMHNP-BC?

The NPI number of Sherieffa N Jackson, PMHNP-BC is 1184407801. It was assigned on August 16, 2023 and is currently active in the NPPES registry.

What is the specialty of Sherieffa N Jackson, PMHNP-BC?

Sherieffa N Jackson, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CT under license number 12246.

Where does Sherieffa N Jackson, PMHNP-BC practice?

The practice location is 150 Hazard Ave Ste C6, Enfield, CT 06082-4587. The office can be reached at 860-467-1907 (phone) or 860-718-9509 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184407801 directly on the NPPES registry website.

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