Provider Demographics
NPI:1295398402
Name:FAULKINER, SHERRI SUE (APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:SHERRI
Middle Name:SUE
Last Name:FAULKINER
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 J D PARK RD STE 4
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:WV
Mailing Address - Zip Code:24901-9034
Mailing Address - Country:US
Mailing Address - Phone:304-646-0181
Mailing Address - Fax:681-318-3148
Practice Address - Street 1:112 J D PARK RD STE 4
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:WV
Practice Address - Zip Code:24901-9034
Practice Address - Country:US
Practice Address - Phone:304-646-0181
Practice Address - Fax:681-318-3148
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-15
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV102534363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily