Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 2014-00505 | NC |
NPI | 1053602805 |
---|---|
Provider Name | Dr. Jennifer Irene Sherwin |
First Address | Durham, NC 27713-7035 |
Second Address | Durham, NC 27705 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2011 |
Last Update Date | 03/09/2019 |