IndividualActive
Simone Sharp-Bucknor, RN
NPI 1104358803 · Lactation Consultant (Registered Nurse) · Jonesboro, GA
Provider details
- NPI number
- 1104358803
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Registered Nurse)Nursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN150311 (GA)
Practice location
2400 Mount Zion Pkwy
Jonesboro, GA 30236-2500
Phone: (470) 303-4249
Fax: (770) 603-3675
Mailing address
2400 Mount Zion Pkwy
Jonesboro, GA 30236-2500
Registry dates
- Enumerated
- 2017-03-31
- Last updated
- 2017-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.