MEDICARE: SHARON JARRETT C.R.F.N.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	TP005692B	PA

General Provider Information

NPI Number	:	1710946512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON JARRETT C.R.F.N.P.

Provider Business Mailing Address
First Line	:	1011 W BALTIMORE PIKE
Second Line	:	SUITE 007
City	:	WEST GROVE
State	:	PA
Zip	:	19390-9446
Country	:	US
Telephone Number	:	610-869-0953
Fax Number	:	610-869-5824

Provider Business Practice Location Address
First Line	:	1011 W BALTIMORE PIKE
Second Line	:	SUITE 007
City	:	WEST GROVE
State	:	PA
Zip	:	19390-9446
Country	:	US
Telephone Number	:	610-869-0953
Fax Number	:	610-869-5824

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2006
Last Update Date	:	09/12/2007

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