Healthcare Provider Details
I. General information
NPI: 1831198340
Provider Name (Legal Business Name): SHERI LYNN FRENCH PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/18/2005
Last Update Date: 07/31/2023
Certification Date: 07/31/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8240 NAAB RD STE 100
INDIANAPOLIS IN
46260-1985
US
IV. Provider business mailing address
11541 E WINCHESTER LN
ELLICOTT CITY MD
21042-2040
US
V. Phone/Fax
- Phone: 317-207-7411
- Fax:
- Phone: 443-996-4100
- Fax: 317-865-1479
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | 10000473A |
| License Number State | IN |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363AS0400X |
| Taxonomy | Surgical Physician Assistant |
| License Number | 10000473A |
| License Number State | IN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: