Healthcare Provider Details

I. General information

NPI: 1114073236
Provider Name (Legal Business Name): SHERENNAH WYNETTE HERRING CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHERENNAH HERRING JAMES CNM

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3240 AVALON BLVD
CONYERS GA
30013-6320
US

IV. Provider business mailing address

3240 AVALON BLVD
CONYERS GA
30013-6320
US

V. Phone/Fax

Practice location:
  • Phone: 770-860-1133
  • Fax: 770-860-1941
Mailing address:
  • Phone: 770-860-1133
  • Fax: 770-860-1941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberRN1010452
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberRN155556
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: