Healthcare Provider Details

I. General information

NPI: 1952094237
Provider Name (Legal Business Name): SHARON CARROLL PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2023
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7220 DISCOVERY DR
ELKRIDGE MD
21075-7414
US

IV. Provider business mailing address

849 FAIRMOUNT AVE FL 5
TOWSON MD
21286-2624
US

V. Phone/Fax

Practice location:
  • Phone: 240-915-5500
  • Fax: 240-341-5926
Mailing address:
  • Phone: 443-377-5273
  • Fax: 443-659-2429

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR114904
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: