Provider Demographics
NPI:1285198846
Name:SEPASSI, SHERMIN S (NP-C)
Entity Type:Individual
Prefix:MISS
First Name:SHERMIN
Middle Name:S
Last Name:SEPASSI
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:SHAWN
Other - Middle Name:
Other - Last Name:SEPASSI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:20635 KUYKENDAHL RD
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-3533
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:20635 KUYKENDAHL RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-3533
Practice Address - Country:US
Practice Address - Phone:832-844-3746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-29
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP140373363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily