Provider Demographics
NPI:1659463388
Name:COBB, SHARONE L (RN, MPH)
Entity Type:Individual
Prefix:MRS
First Name:SHARONE
Middle Name:L
Last Name:COBB
Suffix:
Gender:F
Credentials:RN, MPH
Other - Prefix:MRS
Other - First Name:SHARONE
Other - Middle Name:L
Other - Last Name:COBB-DEAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN, MPH
Mailing Address - Street 1:4403 KINGSLAND DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27455-1911
Mailing Address - Country:US
Mailing Address - Phone:336-286-1237
Mailing Address - Fax:336-954-1183
Practice Address - Street 1:2710 HENRY ST
Practice Address - Street 2:SUITE 100-B
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-4961
Practice Address - Country:US
Practice Address - Phone:336-954-1007
Practice Address - Fax:336-954-1183
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC102027163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator