Healthcare Provider Details

I. General information

NPI: 1669202883
Provider Name (Legal Business Name): SHERRY SPURGEON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHERRY EDWARDS PMHNP

II. Dates (important events)

Enumeration Date: 08/02/2024
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 W MEADOWVIEW RD # 150
GREENSBORO NC
27407-3409
US

IV. Provider business mailing address

3801 BARRETT DR
RALEIGH NC
27609-7214
US

V. Phone/Fax

Practice location:
  • Phone: 919-870-8409
  • Fax: 877-622-8953
Mailing address:
  • Phone: 919-870-8409
  • Fax: 877-622-8953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5020578
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number5020578
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: