Provider Demographics
NPI:1447974175
Name:SHEERIN, JULIA JONES
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:JONES
Last Name:SHEERIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3489 VILLAGE CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49686-6345
Mailing Address - Country:US
Mailing Address - Phone:231-590-9181
Mailing Address - Fax:
Practice Address - Street 1:3489 VILLAGE CIRCLE DR
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49686-6345
Practice Address - Country:US
Practice Address - Phone:231-590-9181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-27
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty