SHARON JACK FNP NPI 1831348663

NPI Information

  • NPI: 1831348663
  • Provider Name: SHARON JACK, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 25272 MARGUERITE PKWY
    MISSION VIEJO, CA
    ZIP 92692
  • Phone: (612) 225-1512

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NPI Details

Sharon Jack, FNP is a family nurse practitioner in Mission Viejo, CA with 17 years of experience. Sharon Jack, FNP NPI is 1831348663. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

25272 MARGUERITE PKWY
MISSION VIEJO, CA
ZIP 92692-901
Phone: (612) 225-1512

The NPI 1831348663 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/17/2008 and was last updated on 3/2/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily18311CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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