Healthcare Provider Details

I. General information

NPI: 1285125971
Provider Name (Legal Business Name): SHARON M ESKRIDGE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2018
Last Update Date: 12/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 E MILAM ST
MEXIA TX
76667-2359
US

IV. Provider business mailing address

311 E MILAM ST
MEXIA TX
76667-2359
US

V. Phone/Fax

Practice location:
  • Phone: 254-562-2500
  • Fax: 254-562-2503
Mailing address:
  • Phone: 254-562-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP138466
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number674764
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: