Provider Demographics
NPI:1104630383
Name:SHERMAN, ABBY ELIZABETH (PA-C)
Entity type:Individual
Prefix:MRS
First Name:ABBY
Middle Name:ELIZABETH
Last Name:SHERMAN
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:ABBY
Other - Middle Name:ELIZABETH
Other - Last Name:MCKASKLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5036 DICKENS LN
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-4915
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3800 RESERVOIR RD NW
Practice Address - Street 2:PHC BUILDING FLOOR 7
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007
Practice Address - Country:US
Practice Address - Phone:202-295-0540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-06
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant