Provider Demographics
NPI:1336430057
Name:MITCHELL, SHERRY (NP)
Entity Type:Individual
Prefix:MS
First Name:SHERRY
Middle Name:
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9230 KATY FWY
Mailing Address - Street 2:SUITE 420
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-7469
Mailing Address - Country:US
Mailing Address - Phone:713-799-8989
Mailing Address - Fax:713-799-9115
Practice Address - Street 1:9230 KATY FWY
Practice Address - Street 2:SUITE 420
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-7469
Practice Address - Country:US
Practice Address - Phone:713-799-8989
Practice Address - Fax:713-799-9115
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-28
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX673199363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX673199OtherTEXAS BOARD OF NURSING