Healthcare Provider Details

I. General information

NPI: 1851266456
Provider Name (Legal Business Name): SHERRI CLERK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 BRADLEY LN
NORTH HAMPTON NH
03862-2245
US

IV. Provider business mailing address

6 BRADLEY LN
NORTH HAMPTON NH
03862-2245
US

V. Phone/Fax

Practice location:
  • Phone: 773-490-1125
  • Fax:
Mailing address:
  • Phone: 773-490-1125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number836341
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code133VN1201X
TaxonomyObesity and Weight Management Nutrition Registered Dietitian
License Number836341
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: