Provider Demographics
NPI:1407117203
Name:PIERRE-PIERRE, SOPHIE CHERY (ANP)
Entity Type:Individual
Prefix:
First Name:SOPHIE
Middle Name:CHERY
Last Name:PIERRE-PIERRE
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:SOPHIE
Other - Middle Name:E
Other - Last Name:CHERY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ANP
Mailing Address - Street 1:2790 BRAGG ST APT 209
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-1197
Mailing Address - Country:US
Mailing Address - Phone:617-980-2189
Mailing Address - Fax:
Practice Address - Street 1:10 CADILLAC DR
Practice Address - Street 2:STE 350
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5078
Practice Address - Country:US
Practice Address - Phone:615-523-5658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF305947363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health