Provider Demographics
NPI:1861160145
Name:EDINGTON, SHARENA STAR (NP)
Entity type:Individual
Prefix:
First Name:SHARENA
Middle Name:STAR
Last Name:EDINGTON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:SHARENA
Other - Middle Name:STAR
Other - Last Name:PARKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1325 ACUFF LN
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-8900
Mailing Address - Country:US
Mailing Address - Phone:501-681-2937
Mailing Address - Fax:
Practice Address - Street 1:6805 CANTRELL RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72207-4134
Practice Address - Country:US
Practice Address - Phone:501-260-7992
Practice Address - Fax:501-260-7993
Is Sole Proprietor?:No
Enumeration Date:2021-09-01
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR214890363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily