Jacqueline Michele Sharp, LCMT

Specialist · Rockford, IL

Individual Active NPI

NPI number 1689900169

Practice location

2204 Arthur Ave
Rockford, IL 61101-5224
Phone
(815) 243-9366

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NPI record

NPI
1689900169
Entity type
Individual (Type 1)
Enumeration date
October 19, 2009
Last updated
October 19, 2009
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X 227003425 IL

About Jacqueline Sharp

Jacqueline Michele Sharp, LCMT is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 2204 Arthur Ave, Rockford, IL 61101-5224. The NPI number 1689900169 was assigned on October 19, 2009 and the record was last updated on October 19, 2009.

Jacqueline Sharp lists a license in the registry: #227003425 (IL) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jacqueline Michele Sharp, LCMT?

The NPI number is 1689900169.

What is the phone number of Jacqueline Sharp?

The phone number listed for the practice location is (815) 243-9366.

Where is Jacqueline Sharp located?

2204 Arthur Ave, Rockford, IL 61101-5224.

What is the taxonomy code for Jacqueline Sharp?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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