Healthcare Provider Details

I. General information

NPI: 1730726936
Provider Name (Legal Business Name): SHARON WHITE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/06/2019
Last Update Date: 10/02/2023
Certification Date: 10/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 FRIES MILL RD STE 301
TURNERSVILLE NJ
08012-2016
US

IV. Provider business mailing address

151 FRIES MILL RD STE 301
TURNERSVILLE NJ
08012-2016
US

V. Phone/Fax

Practice location:
  • Phone: 856-374-1881
  • Fax:
Mailing address:
  • Phone: 856-374-1881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ00992200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: