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JERITA SARANA SHERARD NP
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1407449069
Individual Registrant: JERITA SARANA SHERARD NP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1319 AGNEW RD STARR, SC 29684-9055 US
Tel: 864-276-2890 Fax: --
Tel: 864-276-2890 Fax: --
Contact information for business:
1319 AGNEW RD STARR, SC 29684-9055 US
Tel: 864-276-2890 Fax: --
Tel: 864-276-2890 Fax: --
Registration Information:
NPI: 1407449069
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | SC | 24442 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
