Healthcare Provider Details

I. General information

NPI: 1447188008
Provider Name (Legal Business Name): SHARON KAY MCQUEEN-GOSS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8840 BIRGHAM CT N
DUBLIN OH
43017-9718
US

IV. Provider business mailing address

8840 BIRGHAM CT N
DUBLIN OH
43017-9718
US

V. Phone/Fax

Practice location:
  • Phone: 804-240-0776
  • Fax:
Mailing address:
  • Phone: 804-240-0776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0041122
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: