Provider Demographics
NPI:1225529324
Name:KEMBEL, SHERI (FNP-C)
Entity Type:Individual
Prefix:DR
First Name:SHERI
Middle Name:
Last Name:KEMBEL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:SHERI
Other - Middle Name:
Other - Last Name:WICKSTROM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2450 1/2 THERESEA LN
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81505-4802
Mailing Address - Country:US
Mailing Address - Phone:970-380-5010
Mailing Address - Fax:
Practice Address - Street 1:2373 G RD STE 200
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81505-1006
Practice Address - Country:US
Practice Address - Phone:977-024-3306
Practice Address - Fax:970-245-8369
Is Sole Proprietor?:No
Enumeration Date:2018-05-23
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0993832-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily