Healthcare Provider Details

I. General information

NPI: 1043181241
Provider Name (Legal Business Name): SHARON MARIE JONES APRN-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2025
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 KINGS HWY S STE 4B
CHERRY HILL NJ
08034-2500
US

IV. Provider business mailing address

1145 KING RD
IMMACULATA PA
19345-9903
US

V. Phone/Fax

Practice location:
  • Phone: 856-209-0447
  • Fax:
Mailing address:
  • Phone: 610-647-4400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15394600
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP007205
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: