Provider Demographics
NPI:1497533319
Name:SOOKRAM-JULIAN, SHARMILA (RN)
Entity Type:Individual
Prefix:
First Name:SHARMILA
Middle Name:
Last Name:SOOKRAM-JULIAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SHARMILA
Other - Middle Name:
Other - Last Name:SOOKRAM-JULIAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:2107 FALLINGLEAF LN
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31602-1576
Mailing Address - Country:US
Mailing Address - Phone:122-963-0884
Mailing Address - Fax:
Practice Address - Street 1:2107 FALLINGLEAF LN
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-1576
Practice Address - Country:US
Practice Address - Phone:122-963-0884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY731647-01163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse