Healthcare Provider Details
I. General information
NPI: 1720299449
Provider Name (Legal Business Name): SHARON LYNN BROWN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/24/2007
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2570 RACE TRACK RD STE A
SAINT JOHNS FL
32259-4589
US
IV. Provider business mailing address
PO BOX 1002377
GAINESVILLE FL
32610-0001
US
V. Phone/Fax
- Phone: 904-819-1005
- Fax: 904-819-1002
- Phone: 352-392-4541
- Fax: 352-294-8519
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | APRN9391010 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: