Healthcare Provider Details

I. General information

NPI: 1760349674
Provider Name (Legal Business Name): YASHEKA N SHAND FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10000 W COLONIAL DR FL 34761
OCOEE FL
34761-3400
US

IV. Provider business mailing address

2411 LAUREL BLOSSOM CIR
OCOEE FL
34761-5203
US

V. Phone/Fax

Practice location:
  • Phone: 407-296-1000
  • Fax:
Mailing address:
  • Phone: 407-285-0353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11042546
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: