Provider Demographics
NPI:1124610449
Name:MCNEAL, JEFFREY SHERMAN (RN)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:SHERMAN
Last Name:MCNEAL
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10564 PALOMINO ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79924-2025
Mailing Address - Country:US
Mailing Address - Phone:915-490-1548
Mailing Address - Fax:
Practice Address - Street 1:10564 PALOMINO ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79924-2025
Practice Address - Country:US
Practice Address - Phone:915-490-1548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-08
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX621776163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty