Provider Demographics
NPI:1356747570
Name:STOYLE, SHERYL ANGEL (FNP-C)
Entity type:Individual
Prefix:
First Name:SHERYL
Middle Name:ANGEL
Last Name:STOYLE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:SHERYL
Other - Middle Name:ANGEL
Other - Last Name:STROUT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:2601 STUART AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31707-1664
Mailing Address - Country:US
Mailing Address - Phone:229-405-8900
Mailing Address - Fax:229-405-8901
Practice Address - Street 1:2601 STUART AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707-1664
Practice Address - Country:US
Practice Address - Phone:229-405-8900
Practice Address - Fax:229-405-8901
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-16
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN104589363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003153964AMedicaid
GARN104589OtherGEORGIA LICENSE