National Provider Identifier Database

SHARP PEDIATRICS LLC
Rural Health


Contact Information

SHARP PEDIATRICS LLC
207 E RICKERT AVE
DICKSON, TN37055-1333
Phone: 629-932-5437
Fax: 629-932-4549
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Pediatrics 363LP0200X

* Indicates primary specialty

NPI Profile & details for SHARP PEDIATRICS LLC

NPI Number 1396509758
Legal business name
LBN
SHARP PEDIATRICS LLC
Authorized official KELLEY SHARP - (NURSE PRACTITIONER PEDIATRICS)
Entity Organization
Organization subpart No
Enumeration date 02/07/2024
Last updated 08/06/2025 - About 10 months ago
Sole proprietor1 Not specified
Identifiers
  • TN Medicaid: Q081360

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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