Mrs. Sherly John
Nurse Practitioner - Adult Health
4958 Memorial Dr
Stone Mountain
, Georgia 30083-4148
Mrs. Sherly John
Nurse Practitioner - Adult Health
4958 Memorial Dr
Stone Mountain
, Georgia 30083-4148
(678) 800-6651
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Mrs. Sherly John
- 432 Hinton Farm Way
- Dacula, GA
- Zip : 30019-2175
- Phone : (678) 800-6651
Second Address
- Mrs. Sherly John
- 4958 Memorial Dr
- Stone Mountain, GA
- Zip : 30083-4148
- Phone : (404) 809-2408
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | AG08210123 | GA |
National Provider Identifier
| NPI | 1003578840 |
|---|---|
| Provider Name | Mrs. Sherly John |
| First Address | Dacula, GA 30019-2175 |
| Second Address | Stone Mountain, GA 30083-4148 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/10/2021 |
| Last Update Date | 13/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.