Provider Demographics
NPI:1295975183
Name:SHARON, JULIE CARROLL
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:CARROLL
Last Name:SHARON
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 1:132 FLOYD CT
Mailing Address - Street 2:
Mailing Address - City:NICHOLASVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40356-1537
Mailing Address - Country:US
Mailing Address - Phone:859-608-3984
Mailing Address - Fax:480-323-2104
Practice Address - Street 1:132 FLOYD CT
Practice Address - Street 2:
Practice Address - City:NICHOLASVILLE
Practice Address - State:KY
Practice Address - Zip Code:40356-1537
Practice Address - Country:US
Practice Address - Phone:859-608-3984
Practice Address - Fax:480-323-2104
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-04
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator