Individual ProviderJean Sheridan-YoungNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address5191 First Coast Tech Pkwy Fl 3, Jacksonville, FL 32224-0609(904) 223-3321PECOS EnrollmentBased on the most recent information from CMS, provider Jean Sheridan-Young is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 8 days ago.Profile DetailsProvider ID1285177832Provider TypeIndividualFull NameSheridan-Young, JeanCredentialARNPGenderFemaleSole ProprietorNoEnumeration Date11/30/2016Last Updated9/11/2024Contact InformationPractice LocationPractice Address5191 First Coast Tech Pkwy Fl 3, Jacksonville, FL 32224-0609Phone(904) 223-3321Fax(904) 223-2169Mailing LocationMailing Address5191 First Coast Tech Pkwy Fl 3, Jacksonville, FL 32224-0609Phone(904) 223-3321Fax(904) 223-2169Provider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN9281949FloridaCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP9281949Florida