Provider Demographics
NPI:1205559283
Name:SHERROD, LAURA MURRAY (FNP-C)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:MURRAY
Last Name:SHERROD
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15496 OLD SMITHFIELD RD
Mailing Address - Street 2:
Mailing Address - City:SIMS
Mailing Address - State:NC
Mailing Address - Zip Code:27880-9487
Mailing Address - Country:US
Mailing Address - Phone:919-612-3880
Mailing Address - Fax:
Practice Address - Street 1:15496 OLD SMITHFIELD RD
Practice Address - Street 2:
Practice Address - City:SIMS
Practice Address - State:NC
Practice Address - Zip Code:27880-9487
Practice Address - Country:US
Practice Address - Phone:919-612-3880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-23
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCF08220812363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily