Wellformed AI

NPI 1609843440 · live from the CMS NPI Registry

Sharon Lynne Jividen, MS CCCA

Audiologist in Princeton, WV. National Provider Identifier 1609843440, active.

NPI record

NPI1609843440 Type 1 · individual
StatusActive
Primary specialtyAudiologist 231H00000X
Practice location508 New Hope Road, Suite #19, Princeton, WV 24740
Practice phone304-487-2487
EnumeratedMarch 1, 2006
Last updatedJune 5, 2013
Sole proprietorNo
Other namesSharon Heffinger

Taxonomies and licenses

TaxonomyCodeLicense
Audiologist231H00000X2201000469 (VA)
Audiologist231H00000X2101000721 (VA)
Audiologist primary231H00000XA0203 (WV)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.