Provider Demographics
NPI:1942458120
Name:THOUIN, SHARON LYN (RN, BSN,CST,CRC)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:LYN
Last Name:THOUIN
Suffix:
Gender:F
Credentials:RN, BSN,CST,CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5044 LAKE FOREST DR
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37663-3714
Mailing Address - Country:US
Mailing Address - Phone:423-239-5558
Mailing Address - Fax:
Practice Address - Street 1:5044 LAKE FOREST DR
Practice Address - Street 2:
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37663-3714
Practice Address - Country:US
Practice Address - Phone:423-239-5558
Practice Address - Fax:423-239-3483
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-31
Last Update Date:2008-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000144096163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse