Doctor Name: | SHARON B GAY |
NPI Number: | 1003935347 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | RN2718682 |
Business Practice Address: | 209 Central Ave Se Jasper, FL - 320526153 |
Business Phone Number: | 3867921414 |
Business Fax Number: | 3867922352 |
Mailing Address: | 209 Central Ave Se, JASPER |
State: | FL |
Postal Code: | 320526153 |
Phone Number: | 3867921414 |
Fax Number: | 3867922352 |
NPI Enumeration Date: | 03/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | RN2718682 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |