Provider Demographics
NPI:1356981021
Name:SPEARS, SHARON MELINDA (FNP)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:MELINDA
Last Name:SPEARS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5105
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-5100
Mailing Address - Country:US
Mailing Address - Phone:607-795-5100
Mailing Address - Fax:
Practice Address - Street 1:2196 NC HIGHWAY 42 W
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-8343
Practice Address - Country:US
Practice Address - Phone:919-763-1050
Practice Address - Fax:919-763-1055
Is Sole Proprietor?:No
Enumeration Date:2020-01-10
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5016151363LF0000X
NYF342930363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5016151OtherMEDICAL LICENSE