Provider Demographics
NPI:1033358460
Name:FLEMING, SHARON Y (CPNP-PC)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:Y
Last Name:FLEMING
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 S 8TH ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37206-3819
Mailing Address - Country:US
Mailing Address - Phone:615-228-8902
Mailing Address - Fax:
Practice Address - Street 1:1460 MCGAVOCK PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37216-3225
Practice Address - Country:US
Practice Address - Phone:615-227-5930
Practice Address - Fax:615-227-7949
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-09
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000012037363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics