MEDICARE: MRS. SHERRY MICHELLE BOONE ACNPC

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	363LA2100X	Acute Care Nurse Practitioner	0024170207	VA

General Provider Information

NPI Number	:	1699021493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHERRY MICHELLE BOONE ACNPC

Provider Business Mailing Address
First Line	:	1454 ROANOKE RD
Second Line	:
City	:	DALEVILLE
State	:	VA
Zip	:	24083-2935
Country	:	US
Telephone Number	:	540-312-3981
Fax Number	:

Provider Business Practice Location Address
First Line	:	1454 ROANOKE RD
Second Line	:
City	:	DALEVILLE
State	:	VA
Zip	:	24083-2935
Country	:	US
Telephone Number	:	540-312-3981
Fax Number	:

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

Provider Enumeration Date	:	07/30/2012
Last Update Date	:	08/19/2025

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