Provider Demographics
NPI:1104608165
Name:SHERMAN, DESHANNON L (HHA)
Entity type:Individual
Prefix:MS
First Name:DESHANNON
Middle Name:L
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4009 NW 11TH DR
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33313-6772
Mailing Address - Country:US
Mailing Address - Phone:954-822-6599
Mailing Address - Fax:
Practice Address - Street 1:4009 NW 11TH DR
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33313-6772
Practice Address - Country:US
Practice Address - Phone:954-822-6599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-16
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL238829372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion