Provider Demographics
NPI:1659546570
Name:WILCOX, SHARON ANN (LMSW, RN)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:ANN
Last Name:WILCOX
Suffix:
Gender:F
Credentials:LMSW, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 NO. COLLEGE
Mailing Address - Street 2:VETERANS HEALTH CARE SYSTEM OF THE OZARKS
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-1944
Mailing Address - Country:US
Mailing Address - Phone:479-582-7100
Mailing Address - Fax:479-251-1036
Practice Address - Street 1:1100 NORTH COLLEGE
Practice Address - Street 2:VETERANS HEALTH CARE SYSTEM OF THE OZARKS
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-1944
Practice Address - Country:US
Practice Address - Phone:479-582-7100
Practice Address - Fax:479-251-1036
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2090-M1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical