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NPI Code Detail

MEDICARE: KRISTY MCCOY SHARPE

MEDICARE:   KRISTY MCCOY SHARPE
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
1363LP0200XPediatric Nurse PractitionerAPRN11009630FL
2363LF0000XFamily Nurse PractitionerAPRN11009630FL

General Provider Information

NPI Number : 1285231985
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTY MCCOY SHARPE
Provider Business Mailing Address
First Line : PO BOX 1137
Second Line :
City : MELBOURNE
State : FL
Zip : 32902-1137
Country : US
Telephone Number : 321-241-6880
Fax Number : 321-241-6890
Provider Business Practice Location Address
First Line : 1537 N SINGLETON AVE
Second Line :
City : TITUSVILLE
State : FL
Zip : 32796-1679
Country : US
Telephone Number : 321-241-6800
Fax Number : 321-241-6890
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2020
Last Update Date : 06/24/2026

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Directions to “ KRISTY MCCOY SHARPE ” Practice Location

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