| Doctor Name: | SHARON L PAINE |
| NPI Number: | 1760653174 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 583469 |
| Business Practice Address: | 700 East Hwy 78 Leonard, TX - 75452 |
| Business Phone Number: | 9035873331 |
| Business Fax Number: | 9034087810 |
| Mailing Address: | Po Box 957, GREENVILLE |
| State: | TX |
| Postal Code: | 754030957 |
| Phone Number: | 9034087700 |
| Fax Number: | 9034087802 |
| NPI Enumeration Date: | 03/13/2008 |
| NPI Last Update Date: | 07/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 583469 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |