Basic Information
| Provider Information | |||||||||
| NPI: | 1033189204 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JOLENE J. SHARRETT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 902 TARI DR | ||||||||
| Address2: | |||||||||
| City: | COLORADO SPRINGS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 809212255 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7194885868 | ||||||||
| FaxNumber: | 7194885869 | ||||||||
| Practice Location | |||||||||
| Address1: | USA MEDDAC, EVANS ARMY COMMUNITY HOSPITAL | ||||||||
| Address2: | 1650 COCHRANE CIRCLE, ATTN: CREDENTIALS OFFICE | ||||||||
| City: | FORT CARSON | ||||||||
| State: | CO | ||||||||
| PostalCode: | 809134604 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7195267844 | ||||||||
| FaxNumber: | 7195267984 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/23/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | SHARRETT | ||||||||
| AuthorizedOfficialFirstName: | JOLENE | ||||||||
| AuthorizedOfficialMiddleName: | J. | ||||||||
| AuthorizedOfficialTitleorPosition: | OB/GYN NURSE PRACTITIONER | ||||||||
| AuthorizedOfficialTelephone: | 7195244773 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | NURSE PRACTITIONER | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 286500000X | 114234 | CO | Y | Hospitals | Military Hospital |
No ID Information.