Individual
MRS. SHERIKA TARSHALL STUCKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(800) 491-0909
Mailing address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(800) 491-0909
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
19553
SC
363L00000X
Nurse Practitioner
19554
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3714
—
SC
Enumeration date
06/22/2015
Last updated
11/09/2022
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