Provider Demographics
NPI:1417614603
Name:WHIPPLE, SHARRON (APRN)
Entity Type:Individual
Prefix:
First Name:SHARRON
Middle Name:
Last Name:WHIPPLE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 STEWART DR NW
Mailing Address - Street 2:
Mailing Address - City:MILLEDGEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31061-6283
Mailing Address - Country:US
Mailing Address - Phone:478-456-1913
Mailing Address - Fax:
Practice Address - Street 1:100 N ABC ST
Practice Address - Street 2:
Practice Address - City:MILLEDGEVILLE
Practice Address - State:GA
Practice Address - Zip Code:31061-0000
Practice Address - Country:US
Practice Address - Phone:478-215-4009
Practice Address - Fax:478-864-1288
Is Sole Proprietor?:No
Enumeration Date:2021-11-22
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN154130363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health