Healthcare Provider Details

I. General information

NPI: 1346189503
Provider Name (Legal Business Name): ADARA SHARI STROUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 MORTON ST
SHELBY NC
28152-6671
US

IV. Provider business mailing address

208 MORTON ST
SHELBY NC
28152-6671
US

V. Phone/Fax

Practice location:
  • Phone: 704-418-1286
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number273547
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: