Provider Demographics
NPI:1245235613
Name:FREEMAN, SHERRY (ARNP)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 S 8TH ST STE 480W
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:KY
Mailing Address - Zip Code:42071-2403
Mailing Address - Country:US
Mailing Address - Phone:270-762-1792
Mailing Address - Fax:270-762-1783
Practice Address - Street 1:300 S 8TH ST STE 203E
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:KY
Practice Address - Zip Code:42071
Practice Address - Country:US
Practice Address - Phone:270-762-1562
Practice Address - Fax:270-752-2864
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2018-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY04290027363LW0102X
KY3001671363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY78000270Medicaid
KY78000270Medicaid
KY78000270Medicaid
KY0791406Medicare PIN