Provider Demographics
NPI:1528726130
Name:FAULKNOR-HYMAN, SHERYL LORRAINE
Entity type:Individual
Prefix:
First Name:SHERYL
Middle Name:LORRAINE
Last Name:FAULKNOR-HYMAN
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 1:2818 HERMITAGE AVE
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-3525
Mailing Address - Country:US
Mailing Address - Phone:910-229-8917
Mailing Address - Fax:
Practice Address - Street 1:2818 HERMITAGE AVE
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-3525
Practice Address - Country:US
Practice Address - Phone:910-229-8917
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-30
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC284936163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse