Individual
SHERRI LYNN MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,BC,FNP
Contact information
Practice address
400 S MAIN ST, CHARLESTON, MO 63834-1644
(573) 683-3739
Mailing address
4287 COUNTY ROAD 634, CAPE GIRARDEAU, MO 63701-8824
(573) 334-2097
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
124558
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124558
FNP LICENSE
MO
Enumeration date
10/11/2006
Last updated
07/08/2007
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