Healthcare Provider Details

I. General information

NPI: 1528823044
Provider Name (Legal Business Name): SHERRY LYNN FLYNN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2024
Last Update Date: 01/24/2025
Certification Date: 01/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2610 N ALEXANDER DR
BAYTOWN TX
77520-3368
US

IV. Provider business mailing address

1114 CHASE PARK DR
BACLIFF TX
77518-2485
US

V. Phone/Fax

Practice location:
  • Phone: 409-234-3399
  • Fax:
Mailing address:
  • Phone: 281-303-9838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1132835
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: