Individual
JACOB T SHERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
419 TWINS WAY, BERMUDA RUN, NC 27006-8794
(336) 716-8091
Mailing address
419 TWINS WAY, BERMUDA RUN, NC 27006-8794
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
298699
NC
363LP2300X
Primary Care Nurse Practitioner
Primary
5018321
NC
Other
Enumeration date
03/14/2023
Last updated
06/23/2023
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