Provider Demographics
NPI:1558123323
Name:ROGERS, SHERRY LYNN (FNP-C)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:LYNN
Last Name:ROGERS
Suffix:
Gender:F
Credentials:FNP-C
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 1094
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-1094
Mailing Address - Country:US
Mailing Address - Phone:828-606-9127
Mailing Address - Fax:
Practice Address - Street 1:7886 NC 226 S
Practice Address - Street 2:
Practice Address - City:NEBO
Practice Address - State:NC
Practice Address - Zip Code:28761-8822
Practice Address - Country:US
Practice Address - Phone:828-606-9127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCROGE-R8HT2363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care