Bledsoe, Shara Smith
Bledsoe, Shara Smith is an individual health care provider with primary practice located at 2778 Highway 51 S , Senatobia MS 38668-9403. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bledsoe, Shara Smith can be contacted via phone (662) 560-5966.Contact Information
Primary practice address
2778 Highway 51 S
Senatobia MS 38668-9403
Phone: (662) 560-5966
Fax: (662) 560-5969
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R874322 | Mississippi |
Profile Details
| NPI number | 1063776607 |
|---|---|
| LBN Legal business name | Bledsoe, Shara Smith |
| Credentials | DNP, FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2012 |
| Last updated | Sep 22nd, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063776607 | NPPES |
| Mississippi | MEDICAID | 09028791 |
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