Provider Demographics
NPI:1427788611
Name:MAY, MERRILL SLOAN (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:MERRILL
Middle Name:SLOAN
Last Name:MAY
Suffix:
Gender:F
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 1:1062 FORSYTH ST STE 2D
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-8639
Mailing Address - Country:US
Mailing Address - Phone:478-633-8391
Mailing Address - Fax:478-633-8395
Practice Address - Street 1:1062 FORSYTH ST STE 2D
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-8639
Practice Address - Country:US
Practice Address - Phone:478-633-8391
Practice Address - Fax:478-633-8395
Is Sole Proprietor?:No
Enumeration Date:2022-06-12
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN282530363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily