Healthcare Provider Details

I. General information

NPI: 1760605786
Provider Name (Legal Business Name): SHARON J. CRAIG APRN-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 21 AVE., S SUITE 640 MAB
NASHVILLE TN
37212-0001
US

IV. Provider business mailing address

7121 BAHNE RD
FAIRVIEW TN
37062-8208
US

V. Phone/Fax

Practice location:
  • Phone: 615-936-0955
  • Fax: 615-936-0966
Mailing address:
  • Phone: 615-799-0918
  • Fax: 615-936-0966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0106X
TaxonomyOccupational Health Nurse Practitioner
License NumberAPN0000005650
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: