Sharicka King, RN

Individual provider Active NPI Registered Nurse · Fayette, MS

NPI 1295326148 · NPPES record last updated Feb 2, 2021

Key facts

NPI
1295326148
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
910129 (MS)
Practice address
5050 Hwy 28
Fayette, MS 39069
Phone
(601) 597-1153
NPI assigned
Feb 2, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
910129MSMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 910129 MS Yes

Addresses

Primary practice location

5050 Hwy 28
Fayette, MS 39069

Mailing address

PO Box 1132
Fayette, MS 39069-1132
Phone (601) 597-1153

Other names

  • Ms. Sharicka King Professional name

Electronic endpoints

TypeEndpointUseAffiliation
Other URL Ambitionhealthcare1@gmail.com Health Information Exchange (HIE)

Other providers in Fayette, MS

All providers in Fayette, MS · Registered Nurse in Mississippi

Sources for this page

Verify at the official NPI Registry.