Provider Demographics
NPI:1790898864
Name:JONES, SHERRIE L (ARNP)
Entity Type:Individual
Prefix:
First Name:SHERRIE
Middle Name:L
Last Name:JONES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9090 PARK ROYAL DR
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-9616
Mailing Address - Country:US
Mailing Address - Phone:239-936-3344
Mailing Address - Fax:239-936-5126
Practice Address - Street 1:9090 PARK ROYAL DR
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-9616
Practice Address - Country:US
Practice Address - Phone:239-936-3344
Practice Address - Fax:239-936-5126
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3019572207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP34661Medicare UPIN