Doctor Name: | MS. JUQETTA SHEFFIELD |
NPI Number: | 1942342993 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 2006004420 |
Business Practice Address: | 986 Manson Axtell Rd. Manson, NC - 275530425 |
Business Phone Number: | 2524562181 |
Business Fax Number: | 2524564229 |
Mailing Address: | 100 W Parkview Dr, HENDERSON |
State: | NC |
Postal Code: | 275365923 |
Phone Number: | 2524383549 |
Fax Number: | 2524382084 |
NPI Enumeration Date: | 02/13/2007 |
NPI Last Update Date: | 01/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | 2006004420 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |