Individual
SHARAYAH LYNN GLISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1401 PROFESSIONAL BLVD, EVANSVILLE, IN 47714-8014
(812) 473-2060
(812) 473-0763
Mailing address
1401 PROFESSIONAL BLVD, EVANSVILLE, IN 47714-8014
(812) 473-2060
(812) 473-0763
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
28220602A
IN
207YS0123X
Facial Plastic Surgery Physician
28220602A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300061787
—
IN
Enumeration date
04/08/2022
Last updated
06/30/2025
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