Provider Demographics
NPI:1518352616
Name:MCCRARY, SHERRY (APRN)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:
Last Name:MCCRARY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 N ILLINOIS ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:AR
Mailing Address - Zip Code:72432-1243
Mailing Address - Country:US
Mailing Address - Phone:870-578-5300
Mailing Address - Fax:870-578-5303
Practice Address - Street 1:209 N ILLINOIS ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:AR
Practice Address - Zip Code:72432-1243
Practice Address - Country:US
Practice Address - Phone:870-578-5300
Practice Address - Fax:870-578-5303
Is Sole Proprietor?:No
Enumeration Date:2015-04-06
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA004372364SF0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health