Individual
SHARON ELAINE EZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-6886
Mailing address
350 W WOODROW WILSON AVE STE 1600, JACKSON, MS 39213-7627
(601) 815-6886
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
15918
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013434
—
MS
05
—
1063799583
—
MO
05
—
1528749
—
TN
05
—
212345758
—
AR
Enumeration date
11/11/2011
Last updated
12/21/2025
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