Provider Demographics
NPI:1093347197
Name:EDWARDS, SHARON GLENN (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:GLENN
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MISS
Other - First Name:SHARON
Other - Middle Name:
Other - Last Name:GLENN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4686 BALD MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28714-6119
Mailing Address - Country:US
Mailing Address - Phone:828-766-5407
Mailing Address - Fax:
Practice Address - Street 1:4686 BALD MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28714-6119
Practice Address - Country:US
Practice Address - Phone:828-766-5407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-06
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5012803363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner