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JERITA SARANA SHERARD NP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1407449069

Individual Registrant:
 JERITA SARANA SHERARD NP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1319 AGNEW RD  STARR, SC 29684-9055 US
Tel: 864-276-2890  Fax: --

Contact information for business:
1319 AGNEW RD  STARR, SC 29684-9055 US
Tel: 864-276-2890  Fax: --

Registration Information:
NPI: 1407449069
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
SC24442

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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