Doctor Name: | MRS. SHERRI J ROBERTSON |
NPI Number: | 1346563459 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 6376P |
Business Practice Address: | 6650 Cumberland Gap Pkwy Harrogate, TN - 377528012 |
Business Phone Number: | 8655852452 |
Business Fax Number: | |
Mailing Address: | Po Box 44, HARROGATE |
State: | TN |
Postal Code: | 377520044 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/03/2010 |
NPI Last Update Date: | 06/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 6376P |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |