Individual
MS. SHARA LANECIA MCPHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1542 KINGSLEY AVE STE 136, ORANGE PARK, FL 32073-4547
(239) 223-2751
Mailing address
4310 METRO PKWY STE 205, FORT MYERS, FL 33916-9416
(239) 236-8784
(239) 790-2624
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11020143
FL
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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