Healthcare Provider Details

I. General information

NPI: 1285334953
Provider Name (Legal Business Name): SHERI D RICE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2023
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1075 OAKLEAF PLANTATION PKWY STE 108
ORANGE PARK FL
32065-3626
US

IV. Provider business mailing address

1075 OAKLEAF PLANTATION PKWY STE 108
ORANGE PARK FL
32065-3626
US

V. Phone/Fax

Practice location:
  • Phone: 904-282-4565
  • Fax:
Mailing address:
  • Phone: 904-282-4565
  • Fax: 904-282-4225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11025104
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: