Provider Demographics
NPI:1184756892
Name:THOMPSON, SHARON JEAN (RN)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:JEAN
Last Name:THOMPSON
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:TN DEPT OF HEALTH CORDELL HULL BLDG 1ST FLOOR
Mailing Address - Street 2:425 5TH AVENUE NORTH
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37243-0001
Mailing Address - Country:US
Mailing Address - Phone:615-532-8517
Mailing Address - Fax:615-253-1370
Practice Address - Street 1:TN DEPT OF HEALTH CORDELL HULL BLDG 1ST FLOOR
Practice Address - Street 2:425 5TH AVENUE NORTH
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37243-0001
Practice Address - Country:US
Practice Address - Phone:615-532-8517
Practice Address - Fax:615-253-1370
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000044844163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse