Provider Demographics
NPI:1730115395
Name:EPPS, SHERYE NICOLE (SHOES)
Entity Type:Individual
Prefix:MISS
First Name:SHERYE
Middle Name:NICOLE
Last Name:EPPS
Suffix:
Gender:F
Credentials:SHOES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2012 GLENMORE WAY
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29505-6851
Mailing Address - Country:US
Mailing Address - Phone:843-669-9258
Mailing Address - Fax:
Practice Address - Street 1:2012 GLENMORE WAY
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29505-6851
Practice Address - Country:US
Practice Address - Phone:843-669-9258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-24
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC16163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator