Provider Demographics
NPI:1578956520
Name:POUNDS, CHERELLE LASHAWN (CNA)
Entity Type:Individual
Prefix:
First Name:CHERELLE
Middle Name:LASHAWN
Last Name:POUNDS
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 181060
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32318-0010
Mailing Address - Country:US
Mailing Address - Phone:850-274-6205
Mailing Address - Fax:850-692-3301
Practice Address - Street 1:632 RIDGE RD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32305-7012
Practice Address - Country:US
Practice Address - Phone:850-274-6205
Practice Address - Fax:850-692-3301
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-16
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCNA244912374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide