MR. OCTAVIAN SHARP


Address: 8001 Centerview Pkwy Ste 215, Cordova, TN 38018-4276
Phone: 9012495905

MR. OCTAVIAN SHARP (NPI# 1184938201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184938201
Entity Type Individual
Full Name MR. OCTAVIAN SHARP
Credential FNP
Practice Address 8001 Centerview Pkwy Ste 215
Cordova
TN 38018-4276
Mailing Address 1101 Professional Blvd Ste 100
Evansville
IN 47714-8018
Practice Telephone 9012495905
Practice Fax Number 9012495940
Mailing Telephone 8124777246
Mailing Fax Number 8124777240
Enumeration Date 2010-07-30
Last Update Date 2019-04-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LF0000X Nurse Practitioner
Specialization: Family
0000015059 TN Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
A810365 MS Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
APN15059 TN Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
146 Timber Creek Dr, Suite 200, Cordova, TN 380184395 9017514112 9017519878

Office Location

Street Address 8001 CENTERVIEW PKWY STE 215
City CORDOVA
State TN
Zip Code 38018-4276

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073696977 Glenn Allen Gehrke Anesthesiology 8001 Centerview Pkwy Ste 215, Cordova, TN 38018-4276 2006-10-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588264428 Shaquia Janai Harris Behavior Technician 1079 N Houston Levee Road, Cordova, TN 38018 2020-10-29
1366041493 Cynthia Brantley Behavior Technician 1079 N Houston Levee Rd, Cordova, TN 38018 2020-10-20
1558901736 At Home Physical Rehabilitation Group, LLC Physical Therapy Assistant 856 Willow Tree Circle, Cordova, TN 38018 2020-01-15
1538703038 Scott Eric Balogh Psychiatry & Neurology 65 Germantown Court, Suite 203, Cordova, TN 38018 2019-10-29
1851871305 Joanna H Fussell Behavioral Analyst 8066 Walnut Run Suite 102, Cordova, TN 38018 2018-08-15
1841736097 A Guardian Care Group Home Health 10164 Green Moss, Cordova, TN 38018 2017-01-12
1497127146 Functional Independence, Inc. Home Health 270 German Oak Dr., Memphis, TN 38018 2015-10-21
1679984363 Tiffany Masters Redfern Obstetrics & Gynecology 521 Riveredge Dr W, Cordova, TN 38018 2014-05-15
1295073427 Mitchell Wyman Alvarez Optometrist 2075 N. Germantown Pkwy, Memphis, TN 38018 2013-01-23
1578827531 Chiung Feng Hsu Dentist 831 Timber Creek Dr #1, Cordova, TN 38018 2012-06-25
Find all providers in zip 38018

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497355390 Delia M. Reyes Nurse Practitioner 705 2nd St., Cordova, AK 99574 2020-10-29
1396350542 Gangagowri Saravanakumar Nurse Practitioner 9658 Woodland Run Ln, Cordova, TN 38018-6612 2020-09-14
1285249011 Sitra Yonis Nurse Practitioner 8000 Centerview Pkwy Ste 511, Cordova, TN 38018-4254 2020-09-09
1295358695 Candace Hightower-parks Nurse Practitioner 10238 Old Well Ter, Cordova, TN 38016-0357 2020-05-20
1982235735 Angela Church Nurse Practitioner 1665 Bonnie Ln Ste 101, Cordova, TN 38016-0548 2020-01-30
1083254544 Cynthia Gaia Nurse Practitioner 1574 Cedar Farms Cv, Cordova, TN 38016-6143 2020-01-13
1891349288 Chelsia Marie Love Nurse Practitioner 8960 Gateshead Ln Apt 301, Cordova, TN 38018-4874 2019-07-24
1942867049 Palmer Medical Services, LLC Nurse Practitioner 984 Rocky Point Rd, Cordova, TN 38018-6504 2019-05-23
1992269674 Phillip Phu Nguyen Nurse Practitioner 369 Lida Ln, Cordova, TN 38018-1021 2019-01-26
1922587286 Allison Leigh Vinograd Nurse Practitioner 2257 N Germantown Pkwy Ste 115, Cordova, TN 38016-7412 2018-08-08
Find all providers in CORDOVA

Competitor

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City CORDOVA
Zip Code 38018

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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