Sharon R Smith, FNP
Individual provider Active NPI Nurse Practitioner · Faison, NC
NPI 1295946796 · NPPES record last updated Nov 25, 2013
Key facts
- NPI
- 1295946796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 201972 (NC)
- Practice address
- 444 SW Center St
Faison, NC 28341-8820 - Phone
- (910) 267-8681
- Fax
- (910) 267-0441
- NPI assigned
- May 25, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201972 | NC | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 201972 | NC | Yes |
Addresses
Primary practice location
444 SW Center St
Faison, NC 28341-8820
Mailing address
444 SW Center St
Faison, NC 28341-8820
Phone (910) 267-8681
Other providers in Faison, NC
- Julissa Quintanilla
- Randall Richards
- Renzo Santisteban
- Walter R Schmits Jr.
- Katheryn M Sican
- Jenny Anna Turek
All providers in Faison, NC · Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.