Provider Demographics
NPI:1235386822
Name:SHARP, DONNA LYNN (FNP)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:LYNN
Last Name:SHARP
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:LYNN
Other - Last Name:HENDRICKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:5368 ROSSLYN AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-3322
Mailing Address - Country:US
Mailing Address - Phone:704-685-1682
Mailing Address - Fax:
Practice Address - Street 1:2311 N STATE ROAD 3
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:IN
Practice Address - Zip Code:47240-8032
Practice Address - Country:US
Practice Address - Phone:812-410-4750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-26
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71014825A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily