Healthcare Provider Details

I. General information

NPI: 1982807525
Provider Name (Legal Business Name): SHERI A BROWN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2007
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 FRIENDSHIP ST
NEWPORT RI
02840-2209
US

IV. Provider business mailing address

11 FRIENDSHIP ST
NEWPORT RI
02840-2209
US

V. Phone/Fax

Practice location:
  • Phone: 401-845-1281
  • Fax: 401-845-1026
Mailing address:
  • Phone: 401-845-1281
  • Fax: 401-845-1026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN01003
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: