Provider Demographics
NPI:1588139364
Name:HESTER, SHARON NICOLE (AGCNS)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:NICOLE
Last Name:HESTER
Suffix:
Gender:F
Credentials:AGCNS
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:NICOLE
Other - Last Name:IRWIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3410 WORTH ST STE 540
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-2079
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3410 WORTH ST STE 545
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-2003
Practice Address - Country:US
Practice Address - Phone:214-820-1598
Practice Address - Fax:214-820-1474
Is Sole Proprietor?:No
Enumeration Date:2018-10-09
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP139074364SA2200X
TXAP129074364SG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology
No364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health