Provider Demographics
NPI:1730882879
Name:SHAREEF, JOAN YVONNE
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:YVONNE
Last Name:SHAREEF
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 1:10200 BELLE RIVE BLVD UNIT 4904
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-9652
Mailing Address - Country:US
Mailing Address - Phone:770-658-7683
Mailing Address - Fax:
Practice Address - Street 1:10200 BELLE RIVE BLVD UNIT 4904
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-9652
Practice Address - Country:US
Practice Address - Phone:770-658-7683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula