Provider Demographics
NPI:1164517280
Name:LLOYD, SHARON ROSEANNE (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:ROSEANNE
Last Name:LLOYD
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 FERRIS ST
Mailing Address - Street 2:
Mailing Address - City:GREEN COVE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32043-4025
Mailing Address - Country:US
Mailing Address - Phone:904-284-4510
Mailing Address - Fax:904-284-3293
Practice Address - Street 1:705 FERRIS ST
Practice Address - Street 2:
Practice Address - City:GREEN COVE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32043-4025
Practice Address - Country:US
Practice Address - Phone:904-284-4510
Practice Address - Fax:904-284-3293
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2014-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP828482363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS50219Medicare UPIN
FLAC717ZMedicare PIN