Provider Demographics
NPI:1215793153
Name:HOWARD, SHERMELL PAULINE (LPN)
Entity type:Individual
Prefix:
First Name:SHERMELL
Middle Name:PAULINE
Last Name:HOWARD
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 STONEFENCE DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29605-6271
Mailing Address - Country:US
Mailing Address - Phone:570-486-8748
Mailing Address - Fax:
Practice Address - Street 1:424 STONEFENCE DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-6271
Practice Address - Country:US
Practice Address - Phone:570-486-8748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC54085164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse