Provider Demographics
NPI:1669647319
Name:SHARPE, JAMIE THOMAS (ANP-BC, CPNP-PC)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:THOMAS
Last Name:SHARPE
Suffix:
Gender:F
Credentials:ANP-BC, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 ANTEELAH TRL
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-6675
Mailing Address - Country:US
Mailing Address - Phone:865-607-3641
Mailing Address - Fax:808-305-7115
Practice Address - Street 1:1926 ALCOA HWY STE 310
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1554
Practice Address - Country:US
Practice Address - Phone:865-305-7255
Practice Address - Fax:865-305-7115
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN96853163W00000X
HI2456363LA2200X, 363LP0200X
TN13435363LA2200X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ007034Medicaid