Provider Demographics
NPI:1073797346
Name:DAVIS, SHERRY L (NP)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:L
Last Name:DAVIS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:SHERRY
Other - Middle Name:L
Other - Last Name:PEVEHOUSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:1167 COUNTY ROAD 437 STE B
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35055-0203
Mailing Address - Country:US
Mailing Address - Phone:256-735-4632
Mailing Address - Fax:256-735-4639
Practice Address - Street 1:1167 COUNTY ROAD 437 STE B
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055-0203
Practice Address - Country:US
Practice Address - Phone:256-735-4632
Practice Address - Fax:256-735-4639
Is Sole Proprietor?:No
Enumeration Date:2007-12-21
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK45983363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner