Individual
FERN SHERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1019 EAST MAIN, MELBOURNE, AR 72556
(870) 368-4729
(870) 368-4729
Mailing address
P.O BOX 1130, 1019 EAST MAIN, MELBOURNE, AR 72556
(870) 368-4729
(870) 368-4487
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A01845 ANP
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158109758
—
AR
Enumeration date
02/01/2006
Last updated
07/10/2012
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