Provider Demographics
NPI:1285056879
Name:CHANEY, SHERRI LYNN (NP)
Entity type:Individual
Prefix:
First Name:SHERRI
Middle Name:LYNN
Last Name:CHANEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 W KENTUCKY AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:PAMPA
Mailing Address - State:TX
Mailing Address - Zip Code:79065-4242
Mailing Address - Country:US
Mailing Address - Phone:806-560-0272
Mailing Address - Fax:
Practice Address - Street 1:511 W KENTUCKY AVE STE 3
Practice Address - Street 2:
Practice Address - City:PAMPA
Practice Address - State:TX
Practice Address - Zip Code:79065-4242
Practice Address - Country:US
Practice Address - Phone:806-560-0272
Practice Address - Fax:806-419-5042
Is Sole Proprietor?:No
Enumeration Date:2014-01-15
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX697647363L00000X, 363LF0000X
TXAP125122363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily