Provider Demographics
NPI:1346739448
Name:SHERER, DEBORAH CAMERON (FNP)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:CAMERON
Last Name:SHERER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2054 S HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38301-7741
Mailing Address - Country:US
Mailing Address - Phone:731-499-8708
Mailing Address - Fax:731-499-8709
Practice Address - Street 1:2054 S HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38301-7741
Practice Address - Country:US
Practice Address - Phone:731-499-8708
Practice Address - Fax:731-499-8709
Is Sole Proprietor?:No
Enumeration Date:2018-05-03
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN24020207Q00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine