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Individual

SHERRI A ROBERTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, FNP

Contact information

Practice address
4209 LINCOLN RD, HATTIESBURG, MS 39402-3065
(601) 705-2896
(601) 264-0732
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 705-2896
(601) 579-5240

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R739582
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00118300
MS
01
640507572YW
AMERICAN ADMIN GROUP
MS
Enumeration date
08/29/2006
Last updated
08/10/2020
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