NPI 1104358803

Simone Keinia Sharp-Bucknor, RN

Practitioner Lactation Consultant (Registered Nurse) Jonesboro, GA

Practice location

Address: 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500
Phone: (470) 303-4249
Fax: (770) 603-3675

Registered specialties (2)

Lactation Consultant (Registered Nurse) Primary

Nursing Service Providers Taxonomy 163WL0100X Licence RN150311 (GA)

Other Registered Nurse providers in Georgia →

Maternal Newborn Registered Nurse

Nursing Service Providers Taxonomy 163WM0102X Licence RN150311 (GA)

Registry record

NPI: 1104358803
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Mar 2017
Record last updated: 31 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.