Individual
SHERRY DEMAISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3614 PROVIDENCE RD S, SUITE 200, WAXHAW, NC 28173-6309
(704) 384-8640
(704) 384-8650
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-8640
(704) 384-8650
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201548
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005343
—
NC
Enumeration date
04/05/2006
Last updated
10/28/2020
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