Provider Demographics
NPI:1639959075
Name:CHEESE, SHARNEKA (DODD, MRDD, HHA, HOS)
Entity Type:Individual
Prefix:MISS
First Name:SHARNEKA
Middle Name:
Last Name:CHEESE
Suffix:
Gender:F
Credentials:DODD, MRDD, HHA, HOS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4577 WESTPORT RD APT 303
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-2477
Mailing Address - Country:US
Mailing Address - Phone:614-975-5150
Mailing Address - Fax:
Practice Address - Street 1:4577 WESTPORT RD APT 303
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-2477
Practice Address - Country:US
Practice Address - Phone:614-975-5150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
OHSJ162152251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No374U00000XNursing Service Related ProvidersHome Health Aide