Healthcare Provider Details

I. General information

NPI: 1336275072
Provider Name (Legal Business Name): SHERIE LYNN SARFF TURNER PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 N PROMENADE ST
HAVANA IL
62644-1243
US

IV. Provider business mailing address

615 N PROMENADE ST P O BOX 530
HAVANA IL
62644-1243
US

V. Phone/Fax

Practice location:
  • Phone: 309-543-6600
  • Fax: 309-543-2089
Mailing address:
  • Phone: 309-543-6600
  • Fax: 309-543-2089

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: