Provider Demographics
NPI:1265462865
Name:TENISON, SHERRY LYNETTE (WHNP)
Entity Type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:LYNETTE
Last Name:TENISON
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
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Mailing Address - Street 1:1208 TAYLOR CREEK DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75181-4234
Mailing Address - Country:US
Mailing Address - Phone:469-387-8025
Mailing Address - Fax:877-289-8708
Practice Address - Street 1:617 W MOORE AVE STE B
Practice Address - Street 2:
Practice Address - City:TERRELL
Practice Address - State:TX
Practice Address - Zip Code:75160-3128
Practice Address - Country:US
Practice Address - Phone:972-563-8100
Practice Address - Fax:877-289-8708
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX558735363LW0102X
TXAP107457363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX156721602Medicaid