Individual
JACQUELINE D. SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10620 PARK RD, STE 202, CHARLOTTE, NC 28210-8472
(704) 667-0920
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
16806
WI
363L00000X
Nurse Practitioner
209031632
IL
363L00000X
Nurse Practitioner
Primary
5004422
NC
363LP0200X
Pediatric Nurse Practitioner
5004422
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100331912
—
WI
Enumeration date
04/13/2007
Last updated
09/16/2025
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