Provider Demographics
NPI:1881215515
Name:KENDRICK, SHERITA
Entity Type:Individual
Prefix:
First Name:SHERITA
Middle Name:
Last Name:KENDRICK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5955 HIGHLAND GREEN BLVD UNIT 106
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-6583
Mailing Address - Country:US
Mailing Address - Phone:614-984-8540
Mailing Address - Fax:
Practice Address - Street 1:5955 HIGHLAND GREEN BLVD UNIT 106
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-6583
Practice Address - Country:US
Practice Address - Phone:614-984-8540
Practice Address - Fax:614-427-0523
Is Sole Proprietor?:No
Enumeration Date:2020-05-05
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker