MS. SHERRY SMITH APRN
NPI 1417263633
Nurse Practitioner - Family in Champaign, IL
Active since August 25, 2010
About Ms. Sherry Smith Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SHERRY SMITH APRN (NPI 1417263633) is an individual family provider in Champaign, Illinois, licensed in Florida (11004057) and active in the NPI registry since August 2010.
NPPES Registry Identity
NPI1417263633
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. SHERRY SMITHCredential: APRN
Location Address2043 S NEIL STChampaign, IL 61820-7219
Mailing Address3513 Kearly AveSebring, FL 33875-4613 · (850) 867-2861
Phone(309) 655-2000
Sole ProprietorNo
Enumeration DateAugust 25, 2010
Last NPPES UpdateOctober 5, 20205 updates tracked since enumeration
NPPES CertifiedOctober 5, 2020
✔ NPI 1417263633 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 11004057
2043 S NEIL ST, Champaign, IL 61820
Other Names 1
Professional Name (2)Ms. Sherry Smith Aprn
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417263633, enumerated as an "individual" on August 25, 2010.
The provider is located at 2043 S NEIL ST CHAMPAIGN, IL 61820 and the phone number is (309) 655-2000.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
