Provider Demographics
NPI:1801616586
Name:HUFF, SHERRY ANN (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:ANN
Last Name:HUFF
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2080 GRIFFON RD UNIT 102
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32966-2549
Mailing Address - Country:US
Mailing Address - Phone:417-576-2147
Mailing Address - Fax:
Practice Address - Street 1:2080 GRIFFON RD UNIT 102
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32966-2549
Practice Address - Country:US
Practice Address - Phone:417-576-2147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-16
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11036001363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health