Individual
SHARICA JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
5447 BURRUS LN, MABLETON, GA 30126-3049
(470) 643-1225
Mailing address
5447 BURRUS LN, MABLETON, GA 30126-3049
(470) 643-1225
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
317405
AZ
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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