Provider Demographics
NPI:1174075329
Name:SHARP, VERONICA DAWSON (PA-C)
Entity type:Individual
Prefix:MS
First Name:VERONICA
Middle Name:DAWSON
Last Name:SHARP
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:264 HIGHWAY 19 S STE 4
Mailing Address - Street 2:
Mailing Address - City:BRYSON CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28713-1134
Mailing Address - Country:US
Mailing Address - Phone:828-341-1060
Mailing Address - Fax:
Practice Address - Street 1:264 HIGHWAY 19 S STE 4
Practice Address - Street 2:
Practice Address - City:BRYSON CITY
Practice Address - State:NC
Practice Address - Zip Code:28713-1134
Practice Address - Country:US
Practice Address - Phone:828-341-1060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSPA00305363A00000X
NC0010-15184363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS05321091Medicaid