Individual
JESSICA ANN SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
10939 AL HIGHWAY 157, MOULTON, AL 35650-1900
(256) 974-6550
Mailing address
10939 AL HIGHWAY 157, MOULTON, AL 35650-1900
(256) 974-6550
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-131316
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203125
—
AL
Enumeration date
05/17/2017
Last updated
03/17/2018
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