Healthcare Provider Details

I. General information

NPI: 1285277798
Provider Name (Legal Business Name): JAMES E SHARP DNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2019
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1288 DEVONSHIRE DR
PROVO UT
84604-5352
US

IV. Provider business mailing address

1288 DEVONSHIRE DR
PROVO UT
84604-5352
US

V. Phone/Fax

Practice location:
  • Phone: 877-258-6331
  • Fax: 718-362-1651
Mailing address:
  • Phone: 801-664-7688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9008330-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: