Individual
MRS. SIMONE KEINIA SHARP-BUCKNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2400 MOUNT ZION PKWY, JONESBORO, GA 30236-2500
(470) 303-4249
(770) 603-3675
Mailing address
2400 MOUNT ZION PKWY, JONESBORO, GA 30236-2500
(470) 303-4249
(770) 603-3675
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN150311
GA
163WM0102X
Maternal Newborn Registered Nurse
RN150311
GA
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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