Individual
MICHELLE R SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN/CNP
Contact information
Practice address
630 BURNETT DR, MOUNTAIN HOME, AR 72653-2941
(870) 425-6971
(870) 508-8900
Mailing address
630 BURNETT DR, MOUNTAIN HOME, AR 72653-2941
(870) 425-6971
(870) 508-8900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
217662
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133981002
—
AR
Enumeration date
09/23/2021
Last updated
12/27/2024
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