Provider Demographics
NPI:1982246708
Name:NOBLE, SHERRY R (CRNP)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:R
Last Name:NOBLE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22508 RUFUS JOHNS RD
Mailing Address - Street 2:
Mailing Address - City:BERRY
Mailing Address - State:AL
Mailing Address - Zip Code:35546-3908
Mailing Address - Country:US
Mailing Address - Phone:334-444-7038
Mailing Address - Fax:
Practice Address - Street 1:22508 RUFUS JOHNS RD
Practice Address - Street 2:
Practice Address - City:BERRY
Practice Address - State:AL
Practice Address - Zip Code:35546-3908
Practice Address - Country:US
Practice Address - Phone:334-444-7038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-14
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-112903163W00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse