Provider Type Icon

SHARISSA YOUNGBLOOD APRN NPI 1689143422


NPI Information

NPI: 1689143422
Provider Name: SHARISSA YOUNGBLOOD, APRN
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Organization: WEST PALM BEACH PHYSICIAN GROUP INC

PECOS Registration: Yes

Address:
6080 BOYNTON BEACH BLVD STE 100
BOYNTON BEACH, FL
ZIP 33437
Phone: (877) 412-7272
Get Directions

Sharissa Youngblood, APRN is a primary care nurse practitioner in Boynton Beach, FL with 6 years of experience. Sharissa Youngblood, APRN NPI is 1689143422. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6080 BOYNTON BEACH BLVD STE 100
BOYNTON BEACH, FL
ZIP 33437-586
Phone: (877) 412-7272

The NPI 1689143422 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/23/2018 and was last updated on 3/26/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP2300XNurse PractitionerPrimary CareAPRN11000257FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.