Individual
JACKIE WILSON-SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3826 NORMA RD, HUNTSVILLE, TN 37756-4408
(423) 663-2920
(423) 663-3989
Mailing address
470 INDUSTRIAL LN, ONEIDA, TN 37841-6294
(423) 286-4141
(423) 286-4145
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19046
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q017081
—
TN
Enumeration date
09/09/2014
Last updated
11/10/2015
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