Provider Demographics
NPI:1720395312
Name:CABBAGE, SHARON ELAINE (RN)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:ELAINE
Last Name:CABBAGE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1325 DAVIS RD
Mailing Address - Street 2:
Mailing Address - City:RUTLEDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37861-4249
Mailing Address - Country:US
Mailing Address - Phone:865-828-5758
Mailing Address - Fax:
Practice Address - Street 1:1325 DAVIS RD
Practice Address - Street 2:
Practice Address - City:RUTLEDGE
Practice Address - State:TN
Practice Address - Zip Code:37861-4249
Practice Address - Country:US
Practice Address - Phone:865-828-5758
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-03
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000087733163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health