Individual
SHARRON ELAINE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
884 WILLOW GRANDE CIR, BRANDON, MS 39047-8347
(601) 405-5897
Mailing address
884 WILLOW GRANDE CIR, BRANDON, MS 39047-8347
(160) 140-5589
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
905209
MS
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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