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Individual

SHARON C UPTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
551 AZALEA DR, OXFORD, MS 38655-7900
(662) 234-0332
(662) 234-2891
Mailing address
551 AZALEA DR, OXFORD, MS 38655-7900
(662) 234-0332
(662) 234-2891

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R748986
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
123197
MS
Enumeration date
08/24/2006
Last updated
01/17/2008
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