Provider Demographics
NPI:1811686157
Name:SHERMAN, CHRISTA NICHOLE
Entity type:Individual
Prefix:
First Name:CHRISTA
Middle Name:NICHOLE
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHRISTA
Other - Middle Name:SHERMAN
Other - Last Name:MCGREW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:133 TRANUM DR
Mailing Address - Street 2:
Mailing Address - City:STARKVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39759-6080
Mailing Address - Country:US
Mailing Address - Phone:662-501-9467
Mailing Address - Fax:
Practice Address - Street 1:133 TRANUM DR
Practice Address - Street 2:
Practice Address - City:STARKVILLE
Practice Address - State:MS
Practice Address - Zip Code:39759-6080
Practice Address - Country:US
Practice Address - Phone:662-501-9467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-03
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife