# SHARON GORDON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1568116986
- **Gender:** F
- **Credential:** MSN, APRN, FNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 11015959 | FL | — |
| 363LF0000X | Family Nurse Practitioner | APRN11015959 | FL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 2022138177 | FL | Yes |

## Other

- **Enumeration date:** 02/04/2022
- **Last updated:** 02/15/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 113706100 | — | FL |
| 01 | — | WITZ4 | BLUE CROSS BLUE SHIELD | FL |