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Individual

MS. SHARON MARGARET JACOB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, MPH, PMHNP-BC

Contact information

Practice address
1835 GILMORE AVE, LAKELAND, FL 33805-3017
(863) 519-0575
(863) 582-9251
Mailing address
PO BOX 1559, BARTOW, FL 33831-1559
(863) 519-0575

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9171943
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
ARNP9171943
FL
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
ARNP9171943
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006495001
FL
Enumeration date
09/04/2012
Last updated
03/08/2021
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