Provider Demographics
NPI:1598309023
Name:SHELDON, JOANNA PATRICIA
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:PATRICIA
Last Name:SHELDON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 BIRD AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-4528
Mailing Address - Country:US
Mailing Address - Phone:786-246-1174
Mailing Address - Fax:
Practice Address - Street 1:709 ALTON RD STE 440
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-5521
Practice Address - Country:US
Practice Address - Phone:786-595-8220
Practice Address - Fax:786-533-9466
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-28
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11004558363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily