Healthcare Provider Details

I. General information

NPI: 1568382158
Provider Name (Legal Business Name): JAMIE SHARP APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 SPUR DR
MARSHFIELD MO
65706-2259
US

IV. Provider business mailing address

5981 S DOLLISON AVE
SPRINGFIELD MO
65810-3038
US

V. Phone/Fax

Practice location:
  • Phone: 417-630-0082
  • Fax:
Mailing address:
  • Phone: 417-399-3570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number2026033667
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: