Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JACKIE SHORTER, PMHNP-BC
ActiveMRS. JACKIE SHORTER, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in FAYETTEVILLE, North Carolina. NPI 1457003865 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · FAYETTEVILLE, NC
Registration Details
- NPI Number
- 1457003865
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 26, 2022 (4.5663077323285 yrs)
- Last Updated
- Jul 9, 2025
- Licenses
-
2021102013 (NC)5016089 (NC)
Practice Information
- Address
-
2565 RAVENHILL DR STE 2CFAYETTEVILLE, NC, 283035414Browse NC providers · Browse ZIP 28303
- Phone
- 9108641799
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in FAYETTEVILLE, NC
| Name | Credential | NPI |
|---|---|---|
| MS. MARGARET JEAN DAVIS | FNP-BC | 1053313536 |
| ROBERT PENNEBAKER | PMHNP-BC, LCSW | 1609957505 |
| KATHLEEN KELLY CARROLL | M.S., M.A., APRN-BC | 1376674010 |
| MS. PAMELA LYNN HERBIG WALL | PMHNP | 1033386446 |
| DR. ADRIAN NICOLE LENNON | PSYCHIATRIC NP | 1013225697 |
| CASEY J SCOTT | APRN | 1417206491 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.