Healthcare Provider Details

I. General information

NPI: 1003752759
Provider Name (Legal Business Name): JONI WINFREE SANDGREN APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

1009 SW 16TH LN
OCALA FL
34471-1228
US

IV. Provider business mailing address

1009 SW 16TH LN
OCALA FL
34471-1228
US

V. Phone/Fax

Practice location:
  • Phone: 352-598-1607
  • Fax: 352-351-3413
Mailing address:
  • Phone: 352-598-1607
  • Fax: 352-351-3413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11047026
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: