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Individual

SHERRY LYNN MISSILDINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MSN, ACNP-BC

Contact information

Practice address
2001 N JEFFERSON AVE STE 204B, MOUNT PLEASANT, TX 75455-2310
(903) 577-6290
(903) 577-6245
Mailing address
4743 ARAPAHOE AVE STE 202, BOULDER, CO 80303-1128
(303) 835-0936
(303) 998-0007

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
658
CO
363LA2100X
Acute Care Nurse Practitioner
704242
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP115139
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
197789401
TX
01
1F7305
MCR PIN - CTC
TX
05
200223530A
OK
01
8Y8806
BCBS
TX
Enumeration date
07/13/2006
Last updated
04/27/2026
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