Sharon Othello, RN

Registered Nurse · Jackson, MS

Individual Active NPI

NPI number 1215807466

Practice location

4780 I 55 N Ste 100-119
Jackson, MS 39211-5542
Phone
(404) 806-4301
Fax
(470) 200-0836

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NPI record

NPI
1215807466
Entity type
Individual (Type 1)
Enumeration date
November 11, 2025
Last updated
November 15, 2025
Certified
November 15, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Nurse Primary 163W00000X 853949 MS

Mailing address

3869 Moncure Marble Rd
Terry, MS 39170-8855
Phone
(601) 503-0142

About Sharon Othello

Sharon Othello, RN is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Nurse (code 163W00000X). The practice location is 4780 I 55 N Ste 100-119, Jackson, MS 39211-5542. The NPI number 1215807466 was assigned on November 11, 2025 and the record was last updated on November 15, 2025.

Sharon Othello lists a license in the registry: #853949 (MS) for Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Sharon Othello, RN?

The NPI number is 1215807466.

What is the phone number of Sharon Othello?

The phone number listed for the practice location is (404) 806-4301.

Where is Sharon Othello located?

4780 I 55 N Ste 100-119, Jackson, MS 39211-5542.

What is the taxonomy code for Sharon Othello?

The primary taxonomy code is 163W00000X – Registered Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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