Individual
JILL S SHEORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
116 STANDARD WAREHOUSE RD, LUGOFF, SC 29078-9670
(803) 438-6023
(803) 438-3671
Mailing address
116 STANDARD WAREHOUSE RD, LUGOFF, SC 29078-9670
(803) 438-6023
(803) 438-3671
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1890
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264412
—
SC
Enumeration date
07/03/2006
Last updated
06/25/2015
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