Individual provider · Type 1 NPI
Simone Keinia Sharp-Bucknor, RN
Lactation Consultant (Registered Nurse) · Jonesboro, GA
NPI number
1104358803
Active
Practice location
2400 Mount Zion Pkwy
Jonesboro, GA 30236-2500
Fax (770) 603-3675
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lactation Consultant (Registered Nurse) Primary | 163WL0100X | RN150311 (GA) |
| Maternal Newborn Registered Nurse | 163WM0102X | RN150311 (GA) |
Lactation Consultant (Registered Nurse): Definition to come...
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About NPI 1104358803
Simone Keinia Sharp-Bucknor, RN's National Provider Identifier is 1104358803, issued on Mar 31, 2017. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in Jonesboro, GA. The record was last updated on Mar 31, 2017.