MEDICARE: SHERRI DUDLEY 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	363L00000X	Nurse Practitioner	APRN11017800	FL
2	363LG0600X	Gerontology Nurse Practitioner	APRN11017800	FL

General Provider Information

NPI Number	:	1487485215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERRI DUDLEY APRN

Provider Business Mailing Address
First Line	:	PO BOX 749495
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-9495
Country	:	US
Telephone Number	:	855-963-2100
Fax Number	:	813-321-1296

Provider Business Practice Location Address
First Line	:	14551 HOPE CENTER LOOP STE 200
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33912-4705
Country	:	US
Telephone Number	:	239-264-7026
Fax Number	:	239-567-3679

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

Provider Enumeration Date	:	08/13/2024
Last Update Date	:	05/12/2026

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Directions to “ SHERRI DUDLEY APRN” Practice Location

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