Provider Demographics
NPI:1144709254
Name:SHARPTON, SHANNON LYNN (LVN)
Entity type:Individual
Prefix:
First Name:SHANNON
Middle Name:LYNN
Last Name:SHARPTON
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7823 FM 2088
Mailing Address - Street 2:
Mailing Address - City:WINNSBORO
Mailing Address - State:TX
Mailing Address - Zip Code:75494-6784
Mailing Address - Country:US
Mailing Address - Phone:940-250-9255
Mailing Address - Fax:
Practice Address - Street 1:7823 FM 2088
Practice Address - Street 2:
Practice Address - City:WINNSBORO
Practice Address - State:TX
Practice Address - Zip Code:75494-6784
Practice Address - Country:US
Practice Address - Phone:940-250-9255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-09
Last Update Date:2018-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX211868164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse