Healthcare Provider Details

I. General information

NPI: 1023621398
Provider Name (Legal Business Name): SHARON MAYREE EMORY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2020
Last Update Date: 03/08/2026
Certification Date: 03/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2913 DESIARD ST
MONROE LA
71201-7207
US

IV. Provider business mailing address

2913 DESIARD ST
MONROE LA
71201-7207
US

V. Phone/Fax

Practice location:
  • Phone: 318-651-9914
  • Fax: 318-654-8734
Mailing address:
  • Phone: 318-651-9914
  • Fax: 318-654-8734

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number214813
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: