Healthcare Provider Details

I. General information

NPI: 1679719496
Provider Name (Legal Business Name): SHERI M BONEY FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHERI M HENRY FNP

II. Dates (important events)

Enumeration Date: 12/29/2008
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1008 N 15TH AVE
LAUREL MS
39440-2656
US

IV. Provider business mailing address

PO BOX 247
LAUREL MS
39441-0247
US

V. Phone/Fax

Practice location:
  • Phone: 601-426-5125
  • Fax: 601-426-5126
Mailing address:
  • Phone: 601-399-6169
  • Fax: 601-399-6281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR850242
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: