Healthcare Provider Details

I. General information

NPI: 1518093590
Provider Name (Legal Business Name): SHARON DENISE HONEA NA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 WASHINGTON ST W STE A
FAYETTEVILLE TN
37334-2872
US

IV. Provider business mailing address

81 WATERMILL RD
FLINTVILLE TN
37335-5122
US

V. Phone/Fax

Practice location:
  • Phone: 931-433-3231
  • Fax: 931-438-1567
Mailing address:
  • Phone: 931-433-3231
  • Fax: 931-438-1567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: