Provider Demographics
NPI:1780833723
Name:SHERARD, JHOANE (CALA)
Entity Type:Individual
Prefix:
First Name:JHOANE
Middle Name:
Last Name:SHERARD
Suffix:
Gender:F
Credentials:CALA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 HOOPER AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-3594
Mailing Address - Country:US
Mailing Address - Phone:848-251-2818
Mailing Address - Fax:
Practice Address - Street 1:1200 HOOPER AVE STE 2
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-3594
Practice Address - Country:US
Practice Address - Phone:848-251-2818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-15
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1700208931Medicaid