Provider Demographics
NPI:1285822940
Name:LYNCH-JONES, SHARON FAYE (FNP-C)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:FAYE
Last Name:LYNCH-JONES
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:FAYE
Other - Last Name:LYNCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:PO BOX 640
Mailing Address - Street 2:
Mailing Address - City:ROANOKE RAPIDS
Mailing Address - State:NC
Mailing Address - Zip Code:27870-0640
Mailing Address - Country:US
Mailing Address - Phone:252-536-5440
Mailing Address - Fax:252-536-5444
Practice Address - Street 1:1096 E 10TH ST
Practice Address - Street 2:
Practice Address - City:ROANOKE RAPIDS
Practice Address - State:NC
Practice Address - Zip Code:27870-3052
Practice Address - Country:US
Practice Address - Phone:252-535-3516
Practice Address - Fax:252-535-3519
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5003741363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5003741OtherLICENSE
NC7004813Medicaid