Organization Name: | JOLENE J. SHARRETT |
NPI Number: | 1033189204 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOLENE J. SHARRETT (OB/GYN NURSE PRACTITIONER) |
Mailing Address: | Usa Meddac, Evans Army Community Hospital 1650 Cochrane Circle, Attn: Credentials Office Fort Carson |
State: | CO US |
Postal Code: | 809134604 |
Phone Number: | 7195267844 |
Fax Number: | 7195267984 |
NPI Enumeration Date: | 01/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 286500000X |
License Number: | 114234 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Military Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care facility operated by the Department of Defense. |