Provider Demographics
NPI:1548444276
Name:SHER, JAYNE (RN)
Entity type:Individual
Prefix:MRS
First Name:JAYNE
Middle Name:
Last Name:SHER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:JAYNE
Other - Middle Name:
Other - Last Name:REISNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3151 MIDDLEFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-5069
Mailing Address - Country:US
Mailing Address - Phone:510-383-5213
Mailing Address - Fax:510-383-5183
Practice Address - Street 1:7200 BANCROFT AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94605-2403
Practice Address - Country:US
Practice Address - Phone:510-383-5213
Practice Address - Fax:510-383-5183
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-17
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA304838163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator