Provider Demographics
NPI:1194455014
Name:MCNEIL, SHERLONDA ASHLEY (CPM, LM,DOULA)
Entity type:Individual
Prefix:
First Name:SHERLONDA
Middle Name:ASHLEY
Last Name:MCNEIL
Suffix:
Gender:F
Credentials:CPM, LM,DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4455 SW 34TH ST APT 234
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-6554
Mailing Address - Country:US
Mailing Address - Phone:843-564-7707
Mailing Address - Fax:352-225-7812
Practice Address - Street 1:4455 SW 34TH ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-7582
Practice Address - Country:US
Practice Address - Phone:843-564-7707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-14
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X
FLMW482176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No374J00000XNursing Service Related ProvidersDoula