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Contact Information

SHARP PEDIATRICS LLC
207 E RICKERT AVE
DICKSON, TN37055-1333
 Phone: 629-932-5437
 Fax: 629-932-4549
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
 

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SHARP PEDIATRICS LLC

NPI Number 1396509758
LBN Legal business name SHARP PEDIATRICS LLC
Authorized official KELLEY SHARP - (NURSE PRACTITIONER PEDIATRICS)
Entity Organization
Organization subpart 1 No
Enumeration date 02/07/2024
Last updated 08/06/2025 - About 10 months ago
Identifiers
TN Medicaid Q081360
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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