NPI Code Details Logo

NPI 1942457536

NPI 1942457536 : DAWN SHERRILL ELLIOTT FNP : BLAIRSVILLE, GA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1942457536
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    DAWN SHERRILL ELLIOTT FNP
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/26/2008
-----------------------------------------------------
    Last Update Date     |    10/08/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    202 HOSPITAL RD 
-----------------------------------------------------
    City                 |    BLAIRSVILLE
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30512-3139
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    706-745-2158
-----------------------------------------------------
    Fax                  |    706-745-2053
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    92 OX BOW LN 
-----------------------------------------------------
    City                 |    BLAIRSVILLE
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30512-2189
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    860-759-5932
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LF0000X
-----------------------------------------------------
    Taxonomy Name        |    Family Nurse Practitioner
-----------------------------------------------------
    License Number       |    APRN280348
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.