Individual
MRS. SHERESA BLACKMON CATOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
505 WOODLAND DRIVE, KERSHAW, SC 29067-1704
(803) 313-3700
(803) 289-0909
Mailing address
505 WOODLAND DRIVE, KERSHAW, SC 29067-1704
(803) 283-7465
(877) 299-9396
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
18183
SC
363LA2100X
Acute Care Nurse Practitioner
Primary
SC18183
SC
363LF0000X
Family Nurse Practitioner
SC18183
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
SC18183
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2429
—
SC
Enumeration date
04/02/2013
Last updated
10/26/2021
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