Provider Demographics
NPI:1982644860
Name:SHERMAN, HOLLY GAYE (ARNP)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:GAYE
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:HOLLY
Other - Middle Name:G
Other - Last Name:WHITAKER SHERMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:600 UNIVERSITY BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-2778
Mailing Address - Country:US
Mailing Address - Phone:561-627-2210
Mailing Address - Fax:561-627-2590
Practice Address - Street 1:600 UNIVERSITY BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-2778
Practice Address - Country:US
Practice Address - Phone:561-627-2210
Practice Address - Fax:561-627-2590
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1436962363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS88573Medicare UPIN