Provider Demographics
NPI:1083209225
Name:JAMISON, SHARNIECE
Entity Type:Individual
Prefix:
First Name:SHARNIECE
Middle Name:
Last Name:JAMISON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7750 OKEECHOBEE BLVD STE 4
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-2106
Mailing Address - Country:US
Mailing Address - Phone:954-399-1391
Mailing Address - Fax:
Practice Address - Street 1:7750 OKEECHOBEE BLVD STE 4
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-2106
Practice Address - Country:US
Practice Address - Phone:954-399-1391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-09
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health