Healthcare Provider Details

I. General information

NPI: 1922303031
Provider Name (Legal Business Name): SHARON RENAY BARNHILL-SILVERMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2011
Last Update Date: 05/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

971 LAKELAND DR
JACKSON MS
39216-4643
US

IV. Provider business mailing address

106 MISTY CV
MADISON MS
39110-7621
US

V. Phone/Fax

Practice location:
  • Phone: 601-200-6846
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberR868740
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: