Provider Demographics
NPI:1891290789
Name:FOWLER, SHERNETT N (FNP-BC)
Entity Type:Individual
Prefix:
First Name:SHERNETT
Middle Name:N
Last Name:FOWLER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 SANDHILL DR STE 101
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-5805
Mailing Address - Country:US
Mailing Address - Phone:302-378-4779
Mailing Address - Fax:302-378-4789
Practice Address - Street 1:114 SANDHILL DR STE 101
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-5805
Practice Address - Country:US
Practice Address - Phone:302-378-4779
Practice Address - Fax:302-378-4789
Is Sole Proprietor?:No
Enumeration Date:2018-03-24
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0001129363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care