Provider Demographics
NPI:1255208955
Name:EADDY, SHERINE MEQUELL (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:SHERINE
Middle Name:MEQUELL
Last Name:EADDY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MRS
Other - First Name:SHERINE
Other - Middle Name:MEQUELL
Other - Last Name:TRUITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:311 ACASTA DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-9738
Mailing Address - Country:US
Mailing Address - Phone:302-293-6367
Mailing Address - Fax:
Practice Address - Street 1:310 E PULASKI HWY
Practice Address - Street 2:
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921-6435
Practice Address - Country:US
Practice Address - Phone:443-485-6213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-20
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0013330363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily