Provider Demographics
NPI:1609321827
Name:WROBLEWSKI, SHERRIE (NP)
Entity Type:Individual
Prefix:
First Name:SHERRIE
Middle Name:
Last Name:WROBLEWSKI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12141 CHAPEL MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:TN
Mailing Address - Zip Code:38002-4688
Mailing Address - Country:US
Mailing Address - Phone:901-412-5483
Mailing Address - Fax:
Practice Address - Street 1:12141 CHAPEL MEADOW LN
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:TN
Practice Address - Zip Code:38002-4688
Practice Address - Country:US
Practice Address - Phone:901-412-5483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-17
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN21601363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner