Provider Demographics
NPI:1285125971
Name:ESKRIDGE, SHARON M (NP)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:M
Last Name:ESKRIDGE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 E MILAM ST
Mailing Address - Street 2:
Mailing Address - City:MEXIA
Mailing Address - State:TX
Mailing Address - Zip Code:76667-2359
Mailing Address - Country:US
Mailing Address - Phone:254-562-2500
Mailing Address - Fax:
Practice Address - Street 1:311 E MILAM ST
Practice Address - Street 2:
Practice Address - City:MEXIA
Practice Address - State:TX
Practice Address - Zip Code:76667-2359
Practice Address - Country:US
Practice Address - Phone:254-562-2500
Practice Address - Fax:254-562-2503
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-29
Last Update Date:2018-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP138466363LF0000X
TX674764163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency