Individual
SHERRY SUE LINBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1620 NECTARINE ST, FERNANDINA BEACH, FL 32034-4724
(904) 548-1860
(904) 277-7283
Mailing address
30 S 4TH ST, FERNANDINA BEACH, FL 32034-4272
(904) 548-1800
(904) 277-7286
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9201567
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306609600
—
FL
Enumeration date
08/07/2006
Last updated
01/29/2015
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