Provider Demographics
NPI:1184771693
Name:YOUMANS, SHARIE ANN (MS, RD, LDN, CNSC)
Entity type:Individual
Prefix:MS
First Name:SHARIE
Middle Name:ANN
Last Name:YOUMANS
Suffix:
Gender:F
Credentials:MS, RD, LDN, CNSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2640 SE 48TH STREET
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34480
Mailing Address - Country:US
Mailing Address - Phone:352-208-7327
Mailing Address - Fax:352-402-5157
Practice Address - Street 1:5431 SW 35TH DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608
Practice Address - Country:US
Practice Address - Phone:352-373-8389
Practice Address - Fax:352-240-3453
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3060133V00000X
FLND4583133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered