Provider Demographics
NPI:1982042008
Name:FERNANDES, SHERLINE C (MS)
Entity Type:Individual
Prefix:MS
First Name:SHERLINE
Middle Name:C
Last Name:FERNANDES
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 CEDAR TRACE RUN
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34472-8346
Mailing Address - Country:US
Mailing Address - Phone:352-209-7009
Mailing Address - Fax:
Practice Address - Street 1:8 CEDAR TRACE RUN
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34472-8346
Practice Address - Country:US
Practice Address - Phone:352-209-7009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-11
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health