Doctor Name: | MRS. SHARON KAYE NELSON |
NPI Number: | 1386829042 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN,RN,FNP-C |
License Number: | 250589 |
Business Practice Address: | 420 Tenaha St Center, TX - 759353432 |
Business Phone Number: | 9365985633 |
Business Fax Number: | 9365988513 |
Mailing Address: | 420 Tenaha St, CENTER |
State: | TX |
Postal Code: | 759353432 |
Phone Number: | 9365985633 |
Fax Number: | 9365988513 |
NPI Enumeration Date: | 12/31/2007 |
NPI Last Update Date: | 10/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 250589 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |