Healthcare Provider Details

I. General information

NPI: 1972945673
Provider Name (Legal Business Name): SHERRY FINLEY SMITH FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2013
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10039 UNIVERSITY CITY BLVD
CHARLOTTE NC
28213-3698
US

IV. Provider business mailing address

PO BOX 601643
CHARLOTTE NC
28260-1643
US

V. Phone/Fax

Practice location:
  • Phone: 704-625-2594
  • Fax:
Mailing address:
  • Phone: 704-984-4365
  • Fax: 704-983-7856

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5006352
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number201243
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF0713047
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: