Organization
PROCARE NP ECLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARANNA SHARMEL JOHNSON FNP (NURSE PRACTITIONER)
(321) 343-7008
Entity
Organization
Contact information
Practice address
1309 COFFEEN AVE STE 1200, SHERIDAN, WY 82801-5777
(307) 461-5080
Mailing address
9998 EAGLE CREEK CENTER BLVD, ORLANDO, FL 32832-6333
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
NONE
—
Enumeration date
06/16/2021
Last updated
04/28/2025
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