MEDICARE: HOLLY SHERMAN RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN232166	GA

General Provider Information

NPI Number	:	1205768991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOLLY SHERMAN RN

Provider Business Mailing Address
First Line	:	275 GLEN COVE DR
Second Line	:
City	:	AVONDALE ESTATES
State	:	GA
Zip	:	30002-1160
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 EMBARCADERO CTR
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94111-4106
Country	:	US
Telephone Number	:	888-663-6331
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2026
Last Update Date	:	05/29/2026

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