Provider Demographics
NPI:1871015362
Name:HARPER, SHERRY LEE (APRN)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:LEE
Last Name:HARPER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8901 STONEBRIDGE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30134-2210
Mailing Address - Country:US
Mailing Address - Phone:678-838-3000
Mailing Address - Fax:678-838-3155
Practice Address - Street 1:8901 STONEBRIDGE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30134-2210
Practice Address - Country:US
Practice Address - Phone:678-838-3000
Practice Address - Fax:678-838-3155
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN153288363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty