Individual
KATHY JO SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125-4181
(314) 652-4100
Mailing address
119 FAIRVIEW TER, JACKSONVILLE, IL 62650-2283
(217) 622-3870
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209020474
IL
Other
Enumeration date
11/26/2019
Last updated
10/19/2023
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