Provider Demographics
NPI:1598018582
Name:HAYES-RAULERSON, SHERI LYNN (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:SHERI
Middle Name:LYNN
Last Name:HAYES-RAULERSON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:SHERI
Other - Middle Name:LYNN
Other - Last Name:HAYES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4800 BELFORT RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-6004
Mailing Address - Country:US
Mailing Address - Phone:904-398-3385
Mailing Address - Fax:904-265-4807
Practice Address - Street 1:3 SHIRCLIFF WAY STE 400
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32204-4780
Practice Address - Country:US
Practice Address - Phone:904-381-9393
Practice Address - Fax:904-381-9314
Is Sole Proprietor?:No
Enumeration Date:2012-10-16
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9278609363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL008866100Medicaid
FL008866100Medicaid
FLGT013YMedicare PIN