Jacob, Sharon Margaret

Jacob, Sharon Margaret is an individual health care provider with primary practice located at 1835 Gilmore Ave , Lakeland FL 33805-3017. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Jacob, Sharon Margaret can be contacted via phone (863) 519-0575.

Contact Information

Primary practice address
1835 Gilmore Ave Lakeland FL 33805-3017
Phone: (863) 519-0575
Fax: (863) 582-9251
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP9171943 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X ARNP9171943 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN9171943 Florida

Profile Details

NPI number 1487903605
LBN Legal business name Jacob, Sharon Margaret
Credentials MSN, MPH, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2012
Last updated Mar 8th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487903605 NPPES
Florida MEDICAID 006495001

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