Healthcare Provider Details

I. General information

NPI: 1861436446
Provider Name (Legal Business Name): SHERRY R WHITBY FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2051 US HIGHWAY 45 BYP S
TRENTON TN
38382-2940
US

IV. Provider business mailing address

205A HOSPITAL DR
MC KENZIE TN
38201-2024
US

V. Phone/Fax

Practice location:
  • Phone: 731-393-7120
  • Fax: 833-690-3848
Mailing address:
  • Phone: 731-352-7907
  • Fax: 833-690-3848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5799
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number060730
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: