Provider Demographics
NPI:1750621686
Name:WHIRLEY, SHERON NICHELLE (NP-C)
Entity type:Individual
Prefix:
First Name:SHERON
Middle Name:NICHELLE
Last Name:WHIRLEY
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:SHERON
Other - Middle Name:NICHELLE
Other - Last Name:PERKERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1103 KRUPER AVE
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL
Mailing Address - State:VA
Mailing Address - Zip Code:23860-6030
Mailing Address - Country:US
Mailing Address - Phone:804-452-0953
Mailing Address - Fax:
Practice Address - Street 1:7048 MECHANICSVILLE TPKE
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23111-7101
Practice Address - Country:US
Practice Address - Phone:804-730-9498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-01
Last Update Date:2013-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024169775363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily