| Doctor Name: | SHARON D WILDER |
| NPI Number: | 1659511483 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 14011 |
| Business Practice Address: | 1861 Main St Sneedville, TN - 378693645 |
| Business Phone Number: | 4237332131 |
| Business Fax Number: | 4237331055 |
| Mailing Address: | Po Box 850, ROGERSVILLE |
| State: | TN |
| Postal Code: | 378570850 |
| Phone Number: | 4237332131 |
| Fax Number: | 4237331055 |
| NPI Enumeration Date: | 03/06/2009 |
| NPI Last Update Date: | 09/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 14011 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |