Provider Demographics
NPI:1760605786
Name:CRAIG, SHARON J (APRN-BC)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:J
Last Name:CRAIG
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7121 BAHNE RD
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:TN
Mailing Address - Zip Code:37062-8208
Mailing Address - Country:US
Mailing Address - Phone:615-799-0918
Mailing Address - Fax:615-936-0966
Practice Address - Street 1:1211 21 AVE., S
Practice Address - Street 2:SUITE 640 MAB
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-0001
Practice Address - Country:US
Practice Address - Phone:615-936-0955
Practice Address - Fax:615-936-0966
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000005650363LX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health