Individual
SHERYL FUNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-BC
Contact information
Practice address
15146 16TH AVE, MARNE, MI 49435-9605
(844) 776-9651
Mailing address
2424 W WASHINGTON AVE, JACKSON, MI 49203-1236
(517) 205-4001
(517) 205-0126
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
4704279646
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704279646
MI
Other
Enumeration date
07/16/2018
Last updated
11/20/2024
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