Provider Demographics
NPI:1447992276
Name:SHERWOOD, ALLISON (APN)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:SHERWOOD
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 FERNCLIFF RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-5415
Mailing Address - Country:US
Mailing Address - Phone:512-393-4470
Mailing Address - Fax:
Practice Address - Street 1:99 FERNCLIFF RD
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-5415
Practice Address - Country:US
Practice Address - Phone:512-393-4470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-12
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01296900363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology