Sharp, Kelley J
Sharp, Kelley J is an sole proprietor health care provider with primary practice located at 207 E Rickert Ave , Dickson TN 37055-1333. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Sharp, Kelley J can be contacted via phone (615) 260-5589.Contact Information
Primary practice address
207 E Rickert Ave
Dickson TN 37055-1333
Phone: (615) 260-5589
Fax: (615) 446-0259
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | APN6660 | Tennessee |
Profile Details
| NPI number | 1629071691 |
|---|---|
| LBN Legal business name | Sharp, Kelley J |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2005 |
| Last updated | Mar 22nd, 2024 - about 9 months 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 | 1629071691 | NPPES |
| Tennessee | Other | 4058108 | BLUE CROSS BLUE SHIELD TN |
| Tennessee | MEDICAID | Q081360 | BLUE CROSS BLUE SHIELD TN |
| Tennessee | Other | 500014527 | BLUE CROSS BLUE SHIELD TN |
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