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NPI Code Detail

MEDICARE: MS. JAYNA LYNN SHARPLEY RN

MEDICARE:  MS. JAYNA LYNN SHARPLEY  RN
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
1163W00000XRegistered Nurse4704186463MI
2163W00000XRegistered NurseRN9356053FL

General Provider Information

NPI Number : 1063828283
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JAYNA LYNN SHARPLEY RN
Provider Business Mailing Address
First Line : 4757 WILLIS RD APT 2
Second Line :
City : GRASS LAKE
State : MI
Zip : 49240-9684
Country : US
Telephone Number : 517-438-0032
Fax Number :
Provider Business Practice Location Address
First Line : 4757 WILLIS RD APT 2
Second Line :
City : GRASS LAKE
State : MI
Zip : 49240-9684
Country : US
Telephone Number : 517-438-0032
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2014
Last Update Date : 07/08/2014

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