Healthcare Provider Details

I. General information

NPI: 1285589820
Provider Name (Legal Business Name): MEGAN RAE SHERROD APRN, ACNPC-AG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD
GAINESVILLE FL
32610-3003
US

IV. Provider business mailing address

20659 NW 207TH TER
HIGH SPRINGS FL
32643-6805
US

V. Phone/Fax

Practice location:
  • Phone: 352-733-8171
  • Fax:
Mailing address:
  • Phone: 727-359-5989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11045289
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN11045289
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: