Individual
DR. JENNIFER SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-0690
Mailing address
2040 W ILES AVE, SUITE C, SPRINGFIELD, IL 62704-4662
(217) 789-7743
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036123249
IL
2085R0202X
Diagnostic Radiology Physician
2008018030
MO
2085R0202X
Diagnostic Radiology Physician
ME148256
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036123249
—
IL
05
—
208798504
—
MO
Enumeration date
05/31/2007
Last updated
04/13/2022
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