Provider Demographics
NPI:1003437716
Name:SHERRARD, JESSIE RULAN (AGACNP-BC)
Entity Type:Individual
Prefix:
First Name:JESSIE
Middle Name:RULAN
Last Name:SHERRARD
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3537 S I 35 E STE 305
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-6803
Mailing Address - Country:US
Mailing Address - Phone:940-384-4599
Mailing Address - Fax:
Practice Address - Street 1:3537 S I 35 E STE 305
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-6803
Practice Address - Country:US
Practice Address - Phone:940-384-4599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-04
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP144397363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care