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Individual

SHERRI GAYLE WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
311 PRINCETON RD, SUITE 7, JOHNSON CITY, TN 37601-2026
(423) 282-3377
(423) 283-4746
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
(423) 282-1657

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
0024189829
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN115103
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3346613
TN
01
4147062
BLUE CROSS OF TENNESSEE
TN
01
P00419460
RAIL ROAD MEDICARE
01
TN0123
UNITED HEALTHCARE OF THE
TN
Enumeration date
11/07/2006
Last updated
11/28/2024
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