Redfearn, Sharon Pass
Redfearn, Sharon Pass is an individual health care provider with primary practice located at 841 Prudential Dr Ste 280 , Jacksonville FL 32207-8329. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Redfearn, Sharon Pass can be contacted via phone (904) 202-8550.Contact Information
Primary practice address
841 Prudential Dr Ste 280
Jacksonville FL 32207-8329
Phone: (904) 202-8550
Fax: (904) 393-7808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | APRN1886062 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | ARNP1886062 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | APRN1886062 | Florida |
Profile Details
| NPI number | 1154380236 |
|---|---|
| LBN Legal business name | Redfearn, Sharon Pass |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2006 |
| Last updated | Nov 21st, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154380236 | NPPES |
| Florida | MEDICAID | 3040402-00 | |
| Florida | MEDICAID | 000922853B |
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