Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 1059331 | TX |
NPI | 1023776143 |
---|---|
Provider Name | Cailey Christine Sherrill |
First Address | Dallas, TX 75207-6846 |
Second Address | Dallas, TX 75235-7701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2021 |
Last Update Date | 30/12/2021 |