Doctor Name: | CHERYL EVANS SHEDD |
NPI Number: | 1578532115 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | RN037691 |
Business Practice Address: | 3931 Mundy Mill Road Oakwood, GA - 305663431 |
Business Phone Number: | 7705031481 |
Business Fax Number: | 7705031520 |
Mailing Address: | 601 S. Enota Drive, Suite Q GAINESVILLE |
State: | GA |
Postal Code: | 305012400 |
Phone Number: | 7702198420 |
Fax Number: | 7702198440 |
NPI Enumeration Date: | 03/16/2006 |
NPI Last Update Date: | 10/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN037691 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |