Provider Demographics
NPI:1922114206
Name:BYLEY, SHARON K (RN, FNP-C)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:K
Last Name:BYLEY
Suffix:
Gender:F
Credentials:RN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 869
Mailing Address - Street 2:
Mailing Address - City:TIMPSON
Mailing Address - State:TX
Mailing Address - Zip Code:75975-0869
Mailing Address - Country:US
Mailing Address - Phone:936-254-3338
Mailing Address - Fax:936-257-3339
Practice Address - Street 1:3732 FAIRDALE RD
Practice Address - Street 2:
Practice Address - City:HEMPHILL
Practice Address - State:TX
Practice Address - Zip Code:75948-6778
Practice Address - Country:US
Practice Address - Phone:409-579-2044
Practice Address - Fax:409-579-2104
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2018-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP123751363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX339048AD1KOtherMEDICARE
TX337249206Medicaid
TX339048ZTDPOtherMEDICARE