Healthcare Provider Details
I. General information
NPI: 1639198229
Provider Name (Legal Business Name): SHERRY ARMSTRONG APN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/18/2006
Last Update Date: 04/19/2023
Certification Date: 04/19/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
490 BROADMOOR DR
BRINKLEY AR
72021-2057
US
IV. Provider business mailing address
2707 BROWNS LN
JONESBORO AR
72401-7213
US
V. Phone/Fax
- Phone: 870-734-3202
- Fax: 870-734-3299
- Phone: 870-972-4939
- Fax: 870-972-4911
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 364SP0809X |
| Taxonomy | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
| License Number | A01664 |
| License Number State | AR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: