MEDICARE: MR. JASON N. SHARP PA-C

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	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1417255266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JASON N. SHARP PA-C

Provider Business Mailing Address
First Line	:	200 BRULE ST
Second Line	:
City	:	FORT KNOX
State	:	KY
Zip	:	40121-6100
Country	:	US
Telephone Number	:	502-624-9333
Fax Number	:

Provider Business Practice Location Address
First Line	:	IRELAND ARMY HEALTH CLINIC
Second Line	:	200 BRULE ST
City	:	FT KNOX
State	:	KY
Zip	:	40121
Country	:	US
Telephone Number	:	502-624-9333
Fax Number	:

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

Provider Enumeration Date	:	03/03/2011
Last Update Date	:	07/24/2025

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