Provider Demographics
NPI:1639797350
Name:SHARP, MEGAN LYNN (CNM, APRN)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:LYNN
Last Name:SHARP
Suffix:
Gender:F
Credentials:CNM, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1195 BETHLEHEM RD
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:KY
Mailing Address - Zip Code:40361-9021
Mailing Address - Country:US
Mailing Address - Phone:502-381-2412
Mailing Address - Fax:
Practice Address - Street 1:141 N EAGLE CREEK DR
Practice Address - Street 2:STE 200
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509
Practice Address - Country:US
Practice Address - Phone:859-323-9897
Practice Address - Fax:859-257-0629
Is Sole Proprietor?:No
Enumeration Date:2020-07-09
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3014574367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife