Provider Demographics
NPI:1295498814
Name:SHARPLIN, JANE
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:
Last Name:SHARPLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 OLD WINNFIELD RD
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:LA
Mailing Address - Zip Code:71251-3855
Mailing Address - Country:US
Mailing Address - Phone:318-259-8802
Mailing Address - Fax:318-259-3980
Practice Address - Street 1:181 WOLVERINE DR
Practice Address - Street 2:
Practice Address - City:QUITMAN
Practice Address - State:LA
Practice Address - Zip Code:71268-4402
Practice Address - Country:US
Practice Address - Phone:318-258-2698
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-20
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3991235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist