Healthcare Provider Details

I. General information

NPI: 1821455155
Provider Name (Legal Business Name): SHARON WILLIAMSON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MRS. SHARON R STUDLEY

II. Dates (important events)

Enumeration Date: 01/17/2016
Last Update Date: 08/11/2021
Certification Date: 02/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911 S MAIN ST
TRENTON FL
32693-3239
US

IV. Provider business mailing address

410 NW 32ND ST
GAINESVILLE FL
32607-2532
US

V. Phone/Fax

Practice location:
  • Phone: 352-463-2374
  • Fax: 352-463-2726
Mailing address:
  • Phone: 352-339-6921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1872042
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11011821
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: