Provider Demographics
NPI:1699005587
Name:BRASHER- SIMPSON, SHARA JANEE (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:SHARA
Middle Name:JANEE
Last Name:BRASHER- SIMPSON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:SHARA
Other - Middle Name:JANEE
Other - Last Name:BRASHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:8220 WALNUT HILL LN
Mailing Address - Street 2:SUITE 615
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4427
Mailing Address - Country:US
Mailing Address - Phone:214-345-4160
Mailing Address - Fax:214-345-4165
Practice Address - Street 1:8220 WALNUT HILL LN
Practice Address - Street 2:SUITE 615
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4427
Practice Address - Country:US
Practice Address - Phone:214-345-4160
Practice Address - Fax:214-345-4165
Is Sole Proprietor?:No
Enumeration Date:2009-12-28
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX717048207QA0505X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB116349Medicare PIN