Provider Demographics
NPI:1922846500
Name:SHEFFIELD-HOWELL, LISA MICHELE (RN CM)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:MICHELE
Last Name:SHEFFIELD-HOWELL
Suffix:
Gender:F
Credentials:RN CM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7296 TILLMAN BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:HAHIRA
Mailing Address - State:GA
Mailing Address - Zip Code:31632-0002
Mailing Address - Country:US
Mailing Address - Phone:850-510-1828
Mailing Address - Fax:
Practice Address - Street 1:2080 CHILD ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32214-5005
Practice Address - Country:US
Practice Address - Phone:904-250-6384
Practice Address - Fax:888-410-0935
Is Sole Proprietor?:No
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9639550163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management