Healthcare Provider Details

I. General information

NPI: 1407771884
Provider Name (Legal Business Name): SHARON FLEMMING HIBBERT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3218 RIBAULT SCENIC DR
JACKSONVILLE FL
32208-2435
US

IV. Provider business mailing address

3218 RIBAULT SCENIC DR
JACKSONVILLE FL
32208-2435
US

V. Phone/Fax

Practice location:
  • Phone: 386-589-5104
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License NumberSW1036
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberSW1036
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: