Organization Active NPI

Prestige Medresource LLC

  • Family Nurse Practitioner
  • Clermont, FL
National Provider Identifier
1679351647
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PRESTIGE MEDRESOURCE LLC
Practice address
1206 Bowman St Ste 1
Clermont, FL 34711-3144
Phone
(352) 702-7134
NPI assigned
Sep 20, 2023
Last updated
Mar 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donna Jackson Sharpe, CEONPI 1881274355
Title
Ceo
Phone
(352) 702-7134

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

1206 Bowman St Ste 1
Clermont, FL 34711-3144

Mailing address

1206 Bowman St Ste 1
Clermont, FL 34711-3144
Phone (352) 702-7134

National Provider Directory

National Provider Directory

Locations

1206 Bowman St
Ste 1
Clermont, FL 34711
Phone (352) 702-7134

1206 Bowman St
Ste 2
Clermont, FL 34711

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1679351647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 BOWMAN ST STE 1",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347113144",
            "telephone_number": "352-702-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 BOWMAN ST STE 1",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347113144",
            "telephone_number": "352-702-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE MEDRESOURCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "JACKSON SHARPE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-702-7134",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.