Provider Demographics
NPI:1699021493
Name:BOONE, SHERRY MICHELLE (ACNPC)
Entity type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:MICHELLE
Last Name:BOONE
Suffix:
Gender:F
Credentials:ACNPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1454 ROANOKE RD
Mailing Address - Street 2:
Mailing Address - City:DALEVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24083-2935
Mailing Address - Country:US
Mailing Address - Phone:540-312-3981
Mailing Address - Fax:
Practice Address - Street 1:1454 ROANOKE RD
Practice Address - Street 2:
Practice Address - City:DALEVILLE
Practice Address - State:VA
Practice Address - Zip Code:24083-2935
Practice Address - Country:US
Practice Address - Phone:540-312-3981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-30
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024170207363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care