Individual
MARISSA MICHELLE SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6224 WESTERN AVENUE, KNOXVILLE, TN 37921
(865) 588-3828
(865) 588-3828
Mailing address
P.O. BIX 50126, KNOXVILLE, TN 37950
(865) 588-3828
(865) 855-3828
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
L000000024922
TN
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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