Provider Demographics
NPI:1407815699
Name:SHERWIN, BARBARA JO (FNP)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:JO
Last Name:SHERWIN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:BARBARA
Other - Middle Name:JO
Other - Last Name:SHINN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:31 SYCAMORE DR
Mailing Address - Street 2:PO BOX 667
Mailing Address - City:MALONE
Mailing Address - State:NY
Mailing Address - Zip Code:12953
Mailing Address - Country:US
Mailing Address - Phone:518-481-5123
Mailing Address - Fax:518-483-0115
Practice Address - Street 1:155 FINNEY BLVD
Practice Address - Street 2:CP OF THE NORTH COUNTRY
Practice Address - City:MALONE
Practice Address - State:NY
Practice Address - Zip Code:12953
Practice Address - Country:US
Practice Address - Phone:518-483-0109
Practice Address - Fax:518-483-0115
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY334274363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily