Provider Demographics
NPI:1386267466
Name:TOMLINSON, SHARON MARJORIE (PMHNP)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:MARJORIE
Last Name:TOMLINSON
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 BRAY CENTRAL DR APT 9306
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-6377
Mailing Address - Country:US
Mailing Address - Phone:469-525-5400
Mailing Address - Fax:
Practice Address - Street 1:705 BRAY CENTRAL DR APT 9306
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-6377
Practice Address - Country:US
Practice Address - Phone:469-525-5400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-22
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX624142363LP0808X
TXAP1459102084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX624142OtherSTATE LICENSE