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Individual

MRS. MICHELE ST.CLAIR SHERRILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
1605 CURTIS BRIDGE RD, WILKESBORO, NC 28697-2231
(336) 658-5691
(336) 658-5694
Mailing address
1605 CURTIS BRIDGE RD, WILKESBORO, NC 28697-2231
(336) 658-5691
(336) 658-5694

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5003976
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2593541
MEDICARE PTAN
NC
05
7004293
NC
01
71-0941094
HEALTHWORKS MEDICAL GROUP OF NORTH CAROLINA PC
NC
Enumeration date
05/01/2008
Last updated
03/12/2014
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