Provider Demographics
NPI:1447343900
Name:LEDBETTER, SHARON ELISE (APRN-BC)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:ELISE
Last Name:LEDBETTER
Suffix:
Gender:F
Credentials:APRN-BC
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Mailing Address - Street 1:782 SAN ANTONIO DRIVE NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30606
Mailing Address - Country:US
Mailing Address - Phone:404-875-8584
Mailing Address - Fax:770-505-0534
Practice Address - Street 1:539 HARDEE STREET
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:GA
Practice Address - Zip Code:30132
Practice Address - Country:US
Practice Address - Phone:770-505-0531
Practice Address - Fax:770-505-0534
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GAR038288NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily