Provider Demographics
NPI:1912617762
Name:COBBS, SHERNIKA
Entity Type:Individual
Prefix:MRS
First Name:SHERNIKA
Middle Name:
Last Name:COBBS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 JEFFERSON ST STE 107
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-3702
Mailing Address - Country:US
Mailing Address - Phone:910-642-9888
Mailing Address - Fax:
Practice Address - Street 1:800 JEFFERSON ST STE 107
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-3702
Practice Address - Country:US
Practice Address - Phone:910-642-9888
Practice Address - Fax:910-642-6635
Is Sole Proprietor?:No
Enumeration Date:2022-12-02
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5017223363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner