Provider Demographics
NPI:1568697084
Name:KIMES, SHERRI MORGAN (ARNP)
Entity Type:Individual
Prefix:
First Name:SHERRI
Middle Name:MORGAN
Last Name:KIMES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:SHERRI
Other - Middle Name:M
Other - Last Name:KIMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4 E JACKSON BLVD
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-5810
Mailing Address - Country:US
Mailing Address - Phone:912-355-1010
Mailing Address - Fax:912-351-0589
Practice Address - Street 1:4 E JACKSON BLVD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-5810
Practice Address - Country:US
Practice Address - Phone:912-355-1010
Practice Address - Fax:912-351-0589
Is Sole Proprietor?:No
Enumeration Date:2009-05-28
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN308601363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0010908-00Medicaid
FLBU675ZMedicare PIN