Provider Demographics
NPI:1043805955
Name:EISON, SHERRY FOSTER (APRN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:FOSTER
Last Name:EISON
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:368 GARNET VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:INMAN
Mailing Address - State:SC
Mailing Address - Zip Code:29349-6402
Mailing Address - Country:US
Mailing Address - Phone:864-208-4726
Mailing Address - Fax:
Practice Address - Street 1:368 GARNET VALLEY DR
Practice Address - Street 2:
Practice Address - City:INMAN
Practice Address - State:SC
Practice Address - Zip Code:29349-6402
Practice Address - Country:US
Practice Address - Phone:864-208-4726
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-02
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC23176363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily