Provider Demographics
NPI:1124075304
Name:FARRINGTON, SHERRY L (CRNP)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:L
Last Name:FARRINGTON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 SECRETARIAT PL
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35756-4288
Mailing Address - Country:US
Mailing Address - Phone:706-767-7078
Mailing Address - Fax:
Practice Address - Street 1:1878 JEFF RD NW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-4260
Practice Address - Country:US
Practice Address - Phone:256-945-7405
Practice Address - Fax:256-945-7549
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-087769363LA2100X
OHCOA.12962-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHCOA.12962-NPOtherSTATE LICENSE
GARN186074OtherSTATE LICENSE
OHCOA.12962-NPOtherSTATE LICENSE
GAQ70889Medicare UPIN