Provider Demographics
NPI:1417011396
Name:DONAHUE-BROWN, SHERRY MICHELLE
Entity Type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:MICHELLE
Last Name:DONAHUE-BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 183714
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76096-3714
Mailing Address - Country:US
Mailing Address - Phone:817-726-5889
Mailing Address - Fax:817-451-5689
Practice Address - Street 1:1174 COUNTRY CLUB LN
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76112-2303
Practice Address - Country:US
Practice Address - Phone:817-451-5213
Practice Address - Fax:817-451-5689
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No372600000XNursing Service Related ProvidersAdult Companion
No376J00000XNursing Service Related ProvidersHomemaker