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Individual

JORDAN NICOLE SHARON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-4451
(352) 273-8610
Mailing address
54721 ASTOR TRANSFER STATION RD, ASTOR, FL 32102-3437

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
101902
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11038567
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
126650400
FL
Enumeration date
01/15/2025
Last updated
06/02/2025
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