Provider Demographics
NPI:1386149730
Name:CROSBY, SHERRI FRAZIER (FNP)
Entity type:Individual
Prefix:
First Name:SHERRI
Middle Name:FRAZIER
Last Name:CROSBY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 CROSLAND SCOOTERVILLE RD
Mailing Address - Street 2:
Mailing Address - City:OMEGA
Mailing Address - State:GA
Mailing Address - Zip Code:31775-3627
Mailing Address - Country:US
Mailing Address - Phone:229-326-9478
Mailing Address - Fax:
Practice Address - Street 1:215 CENTRAL AVE N
Practice Address - Street 2:
Practice Address - City:TIFTON
Practice Address - State:GA
Practice Address - Zip Code:31794-4344
Practice Address - Country:US
Practice Address - Phone:229-256-5226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-28
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN188250363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily