Provider Demographics
NPI:1104153055
Name:HOBSON, SHERDINA Q (RN, CRNP, ANP-BC)
Entity type:Individual
Prefix:MS
First Name:SHERDINA
Middle Name:Q
Last Name:HOBSON
Suffix:
Gender:F
Credentials:RN, CRNP, ANP-BC
Other - Prefix:
Other - First Name:SHERDINA
Other - Middle Name:Q
Other - Last Name:CORRY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN, ANP-BC, CRNP
Mailing Address - Street 1:5835 CAMPBELLTON RD SW STE 103
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-8014
Mailing Address - Country:US
Mailing Address - Phone:404-549-2505
Mailing Address - Fax:
Practice Address - Street 1:5835 CAMPBELLTON RD SW STE 103
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-8014
Practice Address - Country:US
Practice Address - Phone:404-549-2505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-13
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN303589363LA2200X
PASP010546363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health