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
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9307 S 51ST AVE UNIT 814
Mailing Address - Street 2:
Mailing Address - City:LAVEEN
Mailing Address - State:AZ
Mailing Address - Zip Code:85339-3934
Mailing Address - Country:US
Mailing Address - Phone:408-480-8054
Mailing Address - Fax:
Practice Address - Street 1:9307 S 51ST AVE UNIT 814
Practice Address - Street 2:
Practice Address - City:LAVEEN
Practice Address - State:AZ
Practice Address - Zip Code:85339-3934
Practice Address - Country:US
Practice Address - Phone:408-480-8054
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-16
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ477372084P0800X, 2084P0804X, 2084P0802X
FLME1245262084P0802X
VA01012513962084P0802X
CANPF10055363LF0000X
VA0024167721363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ17384ZMedicare ID - Type UnspecifiedPROVIDER ID #
CAS93087Medicare UPIN