Provider Demographics
NPI:1508332453
Name:BOYD, SHERRY L (APRN, CNP)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:L
Last Name:BOYD
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:SHERRY
Other - Middle Name:L
Other - Last Name:GROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3823 BRANDONSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62704-5587
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3823 BRANDONSHIRE DR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62704-5587
Practice Address - Country:US
Practice Address - Phone:217-417-4385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-18
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209018390363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily