Individual
SHARICKA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5050 HWY 28, FAYETTE, MS 39069
(601) 597-1153
Mailing address
PO BOX 1132, FAYETTE, MS 39069-1132
(601) 597-1153
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
910129
MS
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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