Provider Demographics
NPI:1720334998
Name:TEACHENOR, SHERYL FRANCES (PMHNP-BC, DNP)
Entity Type:Individual
Prefix:MRS
First Name:SHERYL
Middle Name:FRANCES
Last Name:TEACHENOR
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Gender:F
Credentials:PMHNP-BC, DNP
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Mailing Address - Street 1:COUNTY ROAD 670 1527
Mailing Address - Street 2:
Mailing Address - City:BROSELEY
Mailing Address - State:MO
Mailing Address - Zip Code:63932
Mailing Address - Country:US
Mailing Address - Phone:573-328-1111
Mailing Address - Fax:573-328-1111
Practice Address - Street 1:311 4E JUDGES ROAD
Practice Address - Street 2:CAPESIDE PSYCHIATRY
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405
Practice Address - Country:US
Practice Address - Phone:910-617-6495
Practice Address - Fax:910-617-6496
Is Sole Proprietor?:No
Enumeration Date:2012-07-25
Last Update Date:2017-01-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2011037985363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2011037985OtherADULT PYSCHIATRIC MENTAL HEALTH NP