Provider Demographics
NPI:1639198229
Name:ARMSTRONG, SHERRY (APN)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2707 BROWNS LN
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-7213
Mailing Address - Country:US
Mailing Address - Phone:870-972-4939
Mailing Address - Fax:870-972-4911
Practice Address - Street 1:490 BROADMOOR DR
Practice Address - Street 2:
Practice Address - City:BRINKLEY
Practice Address - State:AR
Practice Address - Zip Code:72021-2057
Practice Address - Country:US
Practice Address - Phone:870-734-3202
Practice Address - Fax:870-734-3299
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA01664364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5X428OtherBLUECROSS PROVIDER NUMBER
AR5X428Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER