MEDICARE: SHERRY NICOLE WARD 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	A003972	AR
2	363LW0102X	Women's Health Nurse Practitioner	A003972	AR

General Provider Information

NPI Number	:	1922826452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERRY NICOLE WARD APRN

Provider Business Mailing Address
First Line	:	9000 COMMERCE CV STE 1
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72113-7648
Country	:	US
Telephone Number	:	501-456-4886
Fax Number	:	501-200-3070

Provider Business Practice Location Address
First Line	:	9000 COMMERCE CV
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72113-7648
Country	:	US
Telephone Number	:	817-908-0975
Fax Number	:

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

Provider Enumeration Date	:	10/02/2024
Last Update Date	:	10/03/2025

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