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Individual

MRS. PATRICIA JEAN SHARP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
2500 N STATE ST, DEPARTMENT OF NEUROSURGERY, JACKSON, MS 39216-4500
(601) 826-4594
(601) 815-2998
Mailing address
2500 N STATE ST, DEPARTMENT OF NEUROSURGERY, JACKSON, MS 39216-4500
(601) 826-4594
(601) 815-2998

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R870288
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09651252
MS
05
2317580
LA
Enumeration date
08/20/2008
Last updated
01/02/2013
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