Provider Demographics
NPI:1346041035
Name:SHERRILL, CHRISTOPHER LUKE (FNP-C)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:LUKE
Last Name:SHERRILL
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:187 LIBERTY DR
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:GA
Mailing Address - Zip Code:30549-5555
Mailing Address - Country:US
Mailing Address - Phone:404-550-3460
Mailing Address - Fax:
Practice Address - Street 1:2129 FRIENDSHIP RD
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30519-2600
Practice Address - Country:US
Practice Address - Phone:404-550-3460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN335902363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner