Healthcare Provider Details

I. General information

NPI: 1942915236
Provider Name (Legal Business Name): SHERRINA BURTON PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2023
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 S MAIN ST STE 6
PLYMOUTH MI
48170-1778
US

IV. Provider business mailing address

30671 STEPHENSON HWY STE C
MADISON HEIGHTS MI
48071-1652
US

V. Phone/Fax

Practice location:
  • Phone: 734-451-7800
  • Fax:
Mailing address:
  • Phone: 800-395-3223
  • Fax: 248-620-6405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number4704254584NSA220ZA
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4704254584
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: