Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Sharon Ruth Jackson

Individual provider Contractor · NPI 1134200389

Mrs. Sharon Ruth Jackson is a Contractor in Grand Prairie, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
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Practice location Address checks out

2100 N Hwy 360 Ste 1704
Grand Prairie, TX 75050-1062
Phone: (972) 206-0111
Fax: (972) 206-0111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence 0058191 (TX)

Record details

NPI number1134200389
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 17, 2006
Last updated in NPPESJuly 9, 2007

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