Provider Demographics
NPI:1851648802
Name:CARR, SHERRA J (NP-C)
Entity Type:Individual
Prefix:
First Name:SHERRA
Middle Name:J
Last Name:CARR
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:SHERRA
Other - Middle Name:J
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:971 LAKELAND DR.
Mailing Address - Street 2:STE 1157
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216-4643
Mailing Address - Country:US
Mailing Address - Phone:601-362-6900
Mailing Address - Fax:601-362-6111
Practice Address - Street 1:971 LAKELAND DR.
Practice Address - Street 2:STE 1157
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-4643
Practice Address - Country:US
Practice Address - Phone:601-362-6900
Practice Address - Fax:601-362-6111
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR867679363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily