Doctor Name: | SHARON S JAMISON |
NPI Number: | 1104815141 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 3002613 |
Business Practice Address: | 311 Reasor Ave Taylorsville, KY - 400718120 |
Business Phone Number: | 5024772248 |
Business Fax Number: | 5024779356 |
Mailing Address: | 3015 Wilson Ave, LOUISVILLE |
State: | KY |
Postal Code: | 402111969 |
Phone Number: | 5027744401 |
Fax Number: | 5027724783 |
NPI Enumeration Date: | 10/20/2005 |
NPI Last Update Date: | 09/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3002613 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |