MEDICARE: MRS. SHARON Y FLEMING CPNP-PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	APN0000012037	TN

General Provider Information

NPI Number	:	1033358460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHARON Y FLEMING CPNP-PC

Provider Business Mailing Address
First Line	:	617 S 8TH ST
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37206-3819
Country	:	US
Telephone Number	:	615-228-8902
Fax Number	:

Provider Business Practice Location Address
First Line	:	1460 MCGAVOCK PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37216-3225
Country	:	US
Telephone Number	:	615-227-5930
Fax Number	:	615-227-7949

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2009
Last Update Date	:	02/09/2009

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