MEDICARE: SHERI LYNN FRENCH PA

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	363A00000X	Physician Assistant	10000473A	IN
2	363AS0400X	Surgical Physician Assistant	10000473A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	351606994	OTHER	IN	TRICARE

General Provider Information

NPI Number	:	1831198340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERI LYNN FRENCH PA

Provider Business Mailing Address
First Line	:	11541 E WINCHESTER LN
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-2040
Country	:	US
Telephone Number	:	443-996-4100
Fax Number	:	317-865-1479

Provider Business Practice Location Address
First Line	:	8240 NAAB RD STE 100
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260-1985
Country	:	US
Telephone Number	:	317-207-7411
Fax Number	:

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

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	07/31/2023

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Directions to “ SHERI LYNN FRENCH PA” Practice Location

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