Provider Demographics
NPI:1437309861
Name:KROLL, SHERRI COFIELD
Entity Type:Individual
Prefix:
First Name:SHERRI
Middle Name:COFIELD
Last Name:KROLL
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 1:2500 STARLING ST STE 402
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31520-4293
Mailing Address - Country:US
Mailing Address - Phone:912-267-0774
Mailing Address - Fax:912-267-9552
Practice Address - Street 1:2500 STARLING ST STE 402
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-4293
Practice Address - Country:US
Practice Address - Phone:912-267-0774
Practice Address - Fax:912-267-9552
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-23
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN106135363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily