Healthcare Provider Details

I. General information

NPI: 1619085024
Provider Name (Legal Business Name): SHARON F. HORN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2006
Last Update Date: 10/04/2021
Certification Date: 10/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2836 MALVERN AVE STE G
HOT SPRINGS AR
71901-8363
US

IV. Provider business mailing address

277 ARLINGTON PARK DR
HOT SPRINGS AR
71901-7998
US

V. Phone/Fax

Practice location:
  • Phone: 501-701-4854
  • Fax: 501-701-4864
Mailing address:
  • Phone: 501-693-5410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA002903
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberA02903
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: