Provider Demographics
NPI:1710946512
Name:JARRETT, SHARON (CRFNP)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:JARRETT
Suffix:
Gender:F
Credentials:CRFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 W BALTIMORE PIKE
Mailing Address - Street 2:SUITE 007
Mailing Address - City:WEST GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19390-9446
Mailing Address - Country:US
Mailing Address - Phone:610-869-0953
Mailing Address - Fax:610-869-5824
Practice Address - Street 1:1011 W BALTIMORE PIKE
Practice Address - Street 2:SUITE 007
Practice Address - City:WEST GROVE
Practice Address - State:PA
Practice Address - Zip Code:19390-9446
Practice Address - Country:US
Practice Address - Phone:610-869-0953
Practice Address - Fax:610-869-5824
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATP005692B363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAS78489Medicare UPIN
PA026443Q1EMedicare ID - Type Unspecified