Sherine Ionie Shearer-Blackman
Nurse Practitioner, Adult Health in Troy, MO. Individual provider (NPI-1).
NPI number1104789429
StatusActive
Last updated in NPPESOct 23, 2026
Details
- NPI
- 1104789429
- Entity type
- Individual (NPI-1)
- Name
- Sherine Ionie Shearer-Blackman
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 4, 2025
- Certification date
- Oct 23, 2026
- Last updated
- Oct 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | 2026051355 | MO | Yes |
Practice location
146 Williamsburg LnTroy, MO 63379-2963
Phone 636-288-0612
Mailing address
146 Williamsburg LnTroy, MO 63379-2963
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