Provider Demographics
NPI:1659069078
Name:EPPS, SHIERRY HAYES (IBCLC)
Entity Type:Individual
Prefix:
First Name:SHIERRY
Middle Name:HAYES
Last Name:EPPS
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2935 STERLING POINT DR
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23703-5235
Mailing Address - Country:US
Mailing Address - Phone:843-478-2892
Mailing Address - Fax:
Practice Address - Street 1:2935 STERLING POINT DR
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23703-5235
Practice Address - Country:US
Practice Address - Phone:843-478-2892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-25
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
L-310444174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN