Provider Demographics
NPI:1912721655
Name:SHERER, JESSICA (CLSP)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:SHERER
Suffix:
Gender:F
Credentials:CLSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:378 GLEN COVE DR
Mailing Address - Street 2:
Mailing Address - City:AVONDALE ESTATES
Mailing Address - State:GA
Mailing Address - Zip Code:30002-1161
Mailing Address - Country:US
Mailing Address - Phone:404-433-5433
Mailing Address - Fax:
Practice Address - Street 1:378 GLEN COVE DR
Practice Address - Street 2:
Practice Address - City:AVONDALE ESTATES
Practice Address - State:GA
Practice Address - Zip Code:30002-1161
Practice Address - Country:US
Practice Address - Phone:404-433-5433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-11
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN