Provider Demographics
NPI:1255059812
Name:RAGLAND, SHARNICE (NP)
Entity type:Individual
Prefix:
First Name:SHARNICE
Middle Name:
Last Name:RAGLAND
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:470 MAYFLOWER DR
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48638-5747
Mailing Address - Country:US
Mailing Address - Phone:989-397-2560
Mailing Address - Fax:
Practice Address - Street 1:4046 HESS AVE
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48601-4261
Practice Address - Country:US
Practice Address - Phone:989-372-1900
Practice Address - Fax:989-372-1930
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-19
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704315230363LA2200X, 363LP2300X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology