Individual provider · Type 1 NPI

Sherine Ionie Shearer-Blackman

Adult Health Nurse Practitioner · Troy, MO

NPI number 1104789429 Active

Practice location

146 Williamsburg Ln
Troy, MO 63379-2963

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X2026051355 (MO)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1104789429

Sherine Ionie Shearer-Blackman's National Provider Identifier is 1104789429, issued on Dec 4, 2025. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Troy, MO. The record was last updated on Oct 23, 2026.