Individual
MRS. QUANISHA JEWEL SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
115 W JACKSON ST, PAINESVILLE, OH 44077-3212
(216) 778-0050
Mailing address
4471 GRANADA BLVD APT 119, WARRENSVILLE HEIGHTS, OH 44128-4860
(216) 778-0050
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
164536
OH
376K00000X
Nurse's Aide
Primary
400780600708
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0111235
—
OH
Enumeration date
11/25/2014
Last updated
03/08/2020
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