Smith, Sharon W

Smith, Sharon W is an individual health care provider with primary practice located at 1200 Spruce Ln , Elizabethton TN 37643-4301. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Smith, Sharon W can be contacted via phone (423) 543-3202.

Contact Information

Primary practice address
1200 Spruce Ln Elizabethton TN 37643-4301
Phone: (423) 543-3202
Fax: (423) 543-6249
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024170461 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 18097 Tennessee

Profile Details

NPI number 1538413448
LBN Legal business name Smith, Sharon W
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2012
Last updated May 18th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538413448 NPPES
Tennessee MEDICAID Q000321

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