MEDICARE: MRS. SCHERRAINE EDWARDS APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LG0600X	Gerontology Nurse Practitioner	AP128703	TX
2	363LA2200X	Adult Health Nurse Practitioner	AP128703	TX
3	363LP2300X	Primary Care Nurse Practitioner	AP128703	TX

General Provider Information

NPI Number	:	1174992853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SCHERRAINE EDWARDS APRN

Provider Business Mailing Address
First Line	:	5225 VERDE VALLEY LN APT 279
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75254-7970
Country	:	US
Telephone Number	:	214-743-0005
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 E LAMAR BLVD
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76006-7346
Country	:	US
Telephone Number	:	214-743-0005
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2015
Last Update Date	:	12/24/2025

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