Individual
STACY SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
20 STARBRUSH CIR, COVINGTON, LA 70433-7208
(985) 871-6020
Mailing address
20 STARBRUSH CIR, COVINGTON, LA 70433-7208
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08976
LA
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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