Provider Demographics
NPI:1649262999
Name:SHERMAN-SHEFFIELD, PAMELA (APRN)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:
Last Name:SHERMAN-SHEFFIELD
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18880 N US HIGHWAY 119
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:KY
Mailing Address - Zip Code:40823-8106
Mailing Address - Country:US
Mailing Address - Phone:606-589-0130
Mailing Address - Fax:606-589-0135
Practice Address - Street 1:18880 N US HIGHWAY 119
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:KY
Practice Address - Zip Code:40823-8106
Practice Address - Country:US
Practice Address - Phone:606-589-0130
Practice Address - Fax:606-589-0135
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3003744363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY78008711Medicaid
P74864Medicare UPIN
0254713Medicare ID - Type Unspecified