Provider Demographics
NPI:1063296812
Name:SHARPE, ROBIN LANETTE (RN)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:LANETTE
Last Name:SHARPE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 SCOTT HWY
Mailing Address - Street 2:
Mailing Address - City:SUNBRIGHT
Mailing Address - State:TN
Mailing Address - Zip Code:37872-2353
Mailing Address - Country:US
Mailing Address - Phone:423-215-1844
Mailing Address - Fax:
Practice Address - Street 1:314 SCOTT HWY
Practice Address - Street 2:
Practice Address - City:SUNBRIGHT
Practice Address - State:TN
Practice Address - Zip Code:37872-2353
Practice Address - Country:US
Practice Address - Phone:423-215-1844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN271147163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse