MEDICARE: DEVON DONNELLY SHARKEY APRN, AGNP-C

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	363LA2200X	Adult Health Nurse Practitioner	5021381	NC
2	363LA2200X	Adult Health Nurse Practitioner	10023812	OR
3	363LA2200X	Adult Health Nurse Practitioner	230926	AR
4	363LA2200X	Adult Health Nurse Practitioner	209031807	IL
5	363LA2200X	Adult Health Nurse Practitioner	TPAN2508	FL
6	363LA2200X	Adult Health Nurse Practitioner	19341	SC
7	363LA2200X	Adult Health Nurse Practitioner	907077	MS
8	363LA2200X	Adult Health Nurse Practitioner	C-APN.0101829-C-NP	CO
9	363LA2200X	Adult Health Nurse Practitioner	299001	AZ
10	363LA2200X	Adult Health Nurse Practitioner	4025978	KY
11	363LA2200X	Adult Health Nurse Practitioner	1178130	TX
12	363LA2200X	Adult Health Nurse Practitioner	36841	TN
13	363LA2200X	Adult Health Nurse Practitioner	3-001989	AL
14	363LA2200X	Adult Health Nurse Practitioner	AP61606210	WA
15	363LA2200X	Adult Health Nurse Practitioner	APRN.CNP.0036345	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942693387
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEVON DONNELLY SHARKEY APRN, AGNP-C

Provider Business Mailing Address
First Line	:	PO BOX 211699
Second Line	:
City	:	EAGAN
State	:	MN
Zip	:	55121-3699
Country	:	US
Telephone Number	:	866-849-0692
Fax Number	:	888-973-8821

Provider Business Practice Location Address
First Line	:	1055 HOWELL MILL RD NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30318-5557
Country	:	US
Telephone Number	:	866-849-0692
Fax Number	:

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

Provider Enumeration Date	:	03/10/2015
Last Update Date	:	09/22/2025

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