Individual
MR. JERRY LIN SHERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
110 29TH AVE N STE 202, NASHVILLE, TN 37203-1448
(615) 327-4304
(615) 327-7940
Mailing address
110 29TH AVE N STE 202, NASHVILLE, TN 37203-1448
(615) 327-4304
(615) 327-7940
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
108551
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN10064
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01037074
AMERIGROUP COMMUNITY CARE-TNCARE ONLY
TN
05
—
3629350
—
TN
01
—
4073073
BLUE CROSS BLUE SHIELD OF TN
TN
01
—
P00103434
RR MEDICARE
TN
Enumeration date
10/27/2006
Last updated
05/05/2020
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