Provider Demographics
NPI:1568135861
Name:DENIS, SHEMECA
Entity Type:Individual
Prefix:
First Name:SHEMECA
Middle Name:
Last Name:DENIS
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 1:407 NW 1ST TER APT F
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-1996
Mailing Address - Country:US
Mailing Address - Phone:954-940-0179
Mailing Address - Fax:
Practice Address - Street 1:407 NW 1ST TER APT F
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-1996
Practice Address - Country:US
Practice Address - Phone:954-940-0179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-01
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY812109-01163W00000X
FLRN9560677163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse