Provider Demographics
NPI:1144543711
Name:PARHAM, SHARON RENEE (RN, BSN)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:RENEE
Last Name:PARHAM
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 S MAIN ST
Mailing Address - Street 2:ADULT PUBLIC HEALTH CLINIC
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-4802
Mailing Address - Country:US
Mailing Address - Phone:817-321-4800
Mailing Address - Fax:817-321-4801
Practice Address - Street 1:1101 S MAIN ST
Practice Address - Street 2:ADULT PUBLIC HEALTH CLINIC
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-4802
Practice Address - Country:US
Practice Address - Phone:817-321-4800
Practice Address - Fax:817-321-4801
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-10
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX758984163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse