Provider Demographics
NPI:1215915046
Name:DRIVER, SHEILA JEFFREYS (PNP-BC (ANCC))
Entity type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:JEFFREYS
Last Name:DRIVER
Suffix:
Gender:F
Credentials:PNP-BC (ANCC)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1499
Mailing Address - Street 2:
Mailing Address - City:WEST JEFFERSON
Mailing Address - State:NC
Mailing Address - Zip Code:28694-1499
Mailing Address - Country:US
Mailing Address - Phone:336-846-4543
Mailing Address - Fax:336-846-7337
Practice Address - Street 1:303 E 2ND ST
Practice Address - Street 2:SUITE A - ASHE PEDIATRICS
Practice Address - City:WEST JEFFERSON
Practice Address - State:NC
Practice Address - Zip Code:28694-8905
Practice Address - Country:US
Practice Address - Phone:336-846-4543
Practice Address - Fax:336-846-7337
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC300146363LP0200X
NCASTHMA EDUCATOR174400000X
NC76284208000000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No174400000XOther Service ProvidersSpecialist
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCMD0508258OtherDEA
NCMD0508258OtherDEA
NCP03789Medicare UPIN