Individual
JEANNIE ELAINE SHERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
251 VZCR 3204, WILLS POINT, TX 75169
(870) 828-0594
Mailing address
251 VZCR 3204, WILLS POINT, TX 75169
(870) 828-0594
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
868490
TX
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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