Healthcare Provider Details

I. General information

NPI: 1285904805
Provider Name (Legal Business Name): YVES R CHERY NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2012
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 PEACHTREE INDUSTRIAL BLVD
SUWANEE GA
30024-6737
US

IV. Provider business mailing address

1000 PEACHTREE INDUSTRIAL BLVD
SUWANEE GA
30024-6737
US

V. Phone/Fax

Practice location:
  • Phone: 408-569-2525
  • Fax:
Mailing address:
  • Phone: 408-569-2525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number2022015304
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number58571
License Number StateNM
# 3
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberRN189928
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number6565
License Number StateCT
# 5
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberRN189928
License Number StateGA
# 6
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAP70027751
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: