Individual
MRS. JEANINE MARIE SHEERAN
Active
Individual
MRS. JEANINE MARIE SHEERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085-001804
IL
363AS0400X
Surgical Physician Assistant
10000783A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01618941
BC/BS
IL
Enumeration date
09/19/2005
Last updated
03/29/2022
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