Provider Demographics
NPI:1891931192
Name:STOUGH, SHERRY MORRIS (CRNP)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:MORRIS
Last Name:STOUGH
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1608 GREAT PINE RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-2819
Mailing Address - Country:US
Mailing Address - Phone:205-854-2772
Mailing Address - Fax:205-854-8528
Practice Address - Street 1:1608 GREAT PINE RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-2819
Practice Address - Country:US
Practice Address - Phone:205-854-2772
Practice Address - Fax:205-854-8528
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-17
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-033297363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal