Provider Demographics
NPI:1275322026
Name:PEARSON, KARAH SHANIECE (MSN, APRN, ACNPC-AG)
Entity type:Individual
Prefix:
First Name:KARAH
Middle Name:SHANIECE
Last Name:PEARSON
Suffix:
Gender:
Credentials:MSN, APRN, ACNPC-AG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2560 GOMAZ WAY S
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33712-3916
Mailing Address - Country:US
Mailing Address - Phone:210-519-1837
Mailing Address - Fax:
Practice Address - Street 1:2560 GOMAZ WAY S
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33712-3916
Practice Address - Country:US
Practice Address - Phone:210-519-1837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11035114363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care