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

Sally Ann Lord, NP

Individual provider Gerontology Nurse Practitioner · NPI 1760299986

Sally Ann Lord, NP is a Nurse Practitioner in New Smyrna Beach, Florida. Qualified in 2024, 2 years ago. Practices with Nisha Jackson Inc, a 44-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
2
Licensed in
OR
In the registry since
2024
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

161 N Cswy Ste C
New Smyrna Beach, FL 32169
Phone: (386) 424-8440
Fax: (386) 426-8839
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 10035005 (OR)

Record details

NPI number1760299986
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedDecember 11, 2024
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026
Mailing address161 N. Causeway Ste. C, New Smyrna Beach, FL 32169

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Nisha Jackson Inc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services