NPI | 1992809461 |
---|---|
Former Name | SHARON SUE STOCKARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3002507) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-130094) |
363L00000X Nurse Practitioner (Licence: SC 21218) | |
363LF0000X Nurse Practitioner, Family (Licence: MD R174728) | |
363LF0000X Nurse Practitioner, Family (Licence: GA RN154825) | |
Enumeration Date | 2006-09-12 |
Last Update Date | 2022-06-23 |