Provider Demographics
NPI:1235802653
Name:HERRING, SHEREE
Entity Type:Individual
Prefix:MS
First Name:SHEREE
Middle Name:
Last Name:HERRING
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 1:121 NASH ST N
Mailing Address - Street 2:SUITE 113
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-9091
Mailing Address - Country:US
Mailing Address - Phone:704-755-5474
Mailing Address - Fax:
Practice Address - Street 1:121 NASH ST N
Practice Address - Street 2:SUITE 113
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-9091
Practice Address - Country:US
Practice Address - Phone:704-755-5474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-30
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCHC6137OtherHOME CARE