MEDICARE: FERN SHERRELL APN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	A01845 ANP	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083685416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FERN SHERRELL APN

Provider Business Mailing Address
First Line	:	P.O BOX 1130
Second Line	:	1019 EAST MAIN
City	:	MELBOURNE
State	:	AR
Zip	:	72556
Country	:	US
Telephone Number	:	870-368-4729
Fax Number	:	870-368-4487

Provider Business Practice Location Address
First Line	:	1019 EAST MAIN
Second Line	:
City	:	MELBOURNE
State	:	AR
Zip	:	72556
Country	:	US
Telephone Number	:	870-368-4729
Fax Number	:	870-368-4729

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2006
Last Update Date	:	07/10/2012

Similar Medicare Providers

1053300657 — PNRC, INC.
Practice Location Address:

1114 EAST MAIN
MELBOURNE, AR
72556

Practice Phone: 870-368-4377
Practice Fax: 870-368-4054

1255317616 — ROGER BYRON TOTTEN OD
Practice Location Address:

102 SPRING STREET
MELBOURNE, AR
72556-0097

Practice Phone: 870-368-7921
Practice Fax: 870-368-7789

1477523348 — WHITE RIVER HEALTH SYSTEM, INC.
Practice Location Address:

1526 E. MAIN ST.
MELBOURNE, AR
72556

Practice Phone: 870-368-4344
Practice Fax: 870-368-3051

1245202654 — DR. ADAM C GRAY MD
Practice Location Address:

1019 E MAIN
MELBOURNE, AR
72556

Practice Phone: 870-368-4729
Practice Fax: 870-368-4487

1225003205 — DR. SHAWN M TOMPKINS D.C.
Practice Location Address:

2575 EAST MAIN ST
MELBOURNE, AR
72556

Practice Phone: 870-368-5690
Practice Fax: 870-368-5691

1780651505 — MS. KIMBERLY MOSER SMITH A.P.N
Practice Location Address:

1526 E MAIN STREE , MELBOURNE MEDICAL CLINIC
MELBOURNE, AR
72556-3736

Practice Phone: 870-368-4344
Practice Fax: 870-368-3051

Directions to “ FERN SHERRELL APN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.