Individual
LYNN CAROL SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1850 CHADWICK DR, JACKSON, MS 39204-3404
(601) 376-1000
Mailing address
130 FIVE POINT LN # 0, TERRY, MS 39170-9506
(601) 672-5672
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
904654
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
904654
—
MS
05
—
905654
—
MS
Enumeration date
07/12/2021
Last updated
07/12/2021
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