Healthcare Provider Details

I. General information

NPI: 1326385105
Provider Name (Legal Business Name): SHERRINE FAYE RICHMOND ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MISS SHERRINE FAYE PINNOCK

II. Dates (important events)

Enumeration Date: 01/14/2013
Last Update Date: 04/14/2021
Certification Date: 03/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

917 RINEHART RD STE 2061
LAKE MARY FL
32746
US

IV. Provider business mailing address

917 RINEHART RD STE 2061
LAKE MARY FL
32746-4878
US

V. Phone/Fax

Practice location:
  • Phone: 407-378-7976
  • Fax: 859-838-4413
Mailing address:
  • Phone: 407-378-7976
  • Fax: 859-838-4413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP 9213911
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9213911
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number9213911
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: