Provider Demographics
NPI:1457333239
Name:JONES-DAGGETT, SHARRON ANNE (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:SHARRON
Middle Name:ANNE
Last Name:JONES-DAGGETT
Suffix:
Gender:F
Credentials:MD, MS
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Mailing Address - Street 1:5400 S HARDY DR
Mailing Address - Street 2:UNIT 119
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-1726
Mailing Address - Country:US
Mailing Address - Phone:408-480-8054
Mailing Address - Fax:
Practice Address - Street 1:2730 S VAL VISTA DR
Practice Address - Street 2:STE. 137
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-1675
Practice Address - Country:US
Practice Address - Phone:623-344-4403
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CANPF10055363LF0000X
VA0024167721363LF0000X
AZ477372084P0802X, 2084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ17384ZMedicare ID - Type UnspecifiedPROVIDER ID #
CAS93087Medicare UPIN