Provider Demographics
NPI:1164080990
Name:GLOVER, SHEENA ROSE (DO)
Entity type:Individual
Prefix:
First Name:SHEENA
Middle Name:ROSE
Last Name:GLOVER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:SHEENA
Other - Middle Name:ROSE
Other - Last Name:SHARPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:3835 N. FREEWAY BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834
Mailing Address - Country:US
Mailing Address - Phone:916-576-7900
Mailing Address - Fax:845-333-7342
Practice Address - Street 1:502 RED BANKS RD.
Practice Address - Street 2:SUITE A
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858
Practice Address - Country:US
Practice Address - Phone:855-501-1004
Practice Address - Fax:855-919-4324
Is Sole Proprietor?:No
Enumeration Date:2019-06-05
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY390200000X
NC2025-004812084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program