Individual
JILL SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2930 CHESTERFIELD AVE, CHARLESTON, WV 25304-1125
(304) 351-1700
(304) 351-1725
Mailing address
2930 CHESTERFIELD AVE, CHARLESTON, WV 25304-1125
(304) 351-1700
(304) 351-1737
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
436
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810006789
—
WV
Enumeration date
01/24/2007
Last updated
07/20/2023
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