Healthcare Provider Details

I. General information

NPI: 1164330536
Provider Name (Legal Business Name): SHERRI LYNN BEARD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 NORTH KING STREET
SHEPHERDSTOWN WV
25443
US

IV. Provider business mailing address

9 SUMMERS ST
INWOOD WV
25428-3430
US

V. Phone/Fax

Practice location:
  • Phone: 304-876-5000
  • Fax:
Mailing address:
  • Phone: 540-494-1908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: