Provider Demographics
NPI:1518231067
Name:SAYLORS, SHARLA ELIZABETH (ANP-BC)
Entity Type:Individual
Prefix:
First Name:SHARLA
Middle Name:ELIZABETH
Last Name:SAYLORS
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:
Other - First Name:SHARLA
Other - Middle Name:ELIZABETH
Other - Last Name:SAYLORS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ANP-BC
Mailing Address - Street 1:404 GILMORE DR
Mailing Address - Street 2:
Mailing Address - City:AMORY
Mailing Address - State:MS
Mailing Address - Zip Code:38821-5414
Mailing Address - Country:US
Mailing Address - Phone:662-256-3564
Mailing Address - Fax:662-256-3996
Practice Address - Street 1:404 GILMORE DR
Practice Address - Street 2:
Practice Address - City:AMORY
Practice Address - State:MS
Practice Address - Zip Code:38821-5414
Practice Address - Country:US
Practice Address - Phone:662-256-3564
Practice Address - Fax:662-256-3996
Is Sole Proprietor?:No
Enumeration Date:2012-03-01
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR853638363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MSR853638OtherLICENSE NUMBER