Individual
SHARON JAMESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
4 MEMORIAL DR STE 210, ALTON, IL 62002
(618) 465-8829
(618) 465-5499
Mailing address
4 MEMORIAL DR STE 210, ALTON, IL 62002-6751
(618) 465-8829
(618) 465-5499
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041437333
IL
163W00000X
Registered Nurse
192142
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209013757
IL
Other
Enumeration date
10/07/2014
Last updated
08/09/2021
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