Provider Demographics
NPI:1528250115
Name:SCHARRER, KELLEY C (APN)
Entity type:Individual
Prefix:
First Name:KELLEY
Middle Name:C
Last Name:SCHARRER
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P. O. BOX 237
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38402
Mailing Address - Country:US
Mailing Address - Phone:931-901-0870
Mailing Address - Fax:931-901-0872
Practice Address - Street 1:1407 HATCHER LN
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-3535
Practice Address - Country:US
Practice Address - Phone:931-901-0870
Practice Address - Fax:931-901-0872
Is Sole Proprietor?:No
Enumeration Date:2007-08-16
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000011494363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner