Provider Demographics
NPI:1386468015
Name:TRIPPLETT, SHERRY FAYE
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:FAYE
Last Name:TRIPPLETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 PASSMORE ST
Mailing Address - Street 2:
Mailing Address - City:TUTWILER
Mailing Address - State:MS
Mailing Address - Zip Code:38963-6630
Mailing Address - Country:US
Mailing Address - Phone:662-902-8856
Mailing Address - Fax:
Practice Address - Street 1:223 PASSMORE ST
Practice Address - Street 2:
Practice Address - City:TUTWILER
Practice Address - State:MS
Practice Address - Zip Code:38963-6630
Practice Address - Country:US
Practice Address - Phone:662-902-8856
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-11
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker