Provider Demographics
NPI:1780574582
Name:INNOVATIVE NURSING EDUCATIONAL RESOURCES COMPANY
Entity type:Organization
Organization Name:INNOVATIVE NURSING EDUCATIONAL RESOURCES COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSTRUCTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERITA
Authorized Official - Middle Name:
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:BSN-RN
Authorized Official - Phone:229-395-1092
Mailing Address - Street 1:397 BRADY RD
Mailing Address - Street 2:
Mailing Address - City:AMERICUS
Mailing Address - State:GA
Mailing Address - Zip Code:31709-5541
Mailing Address - Country:US
Mailing Address - Phone:229-395-1092
Mailing Address - Fax:
Practice Address - Street 1:397 BRADY RD
Practice Address - Street 2:
Practice Address - City:AMERICUS
Practice Address - State:GA
Practice Address - Zip Code:31709-5541
Practice Address - Country:US
Practice Address - Phone:229-395-1092
Practice Address - Fax:229-999-2618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-04
Last Update Date:2025-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff DevelopmentGroup - Single Specialty