Provider Demographics
NPI:1982921326
Name:HAVEN, SHERRI L (MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:SHERRI
Middle Name:L
Last Name:HAVEN
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:SHERRI
Other - Middle Name:L
Other - Last Name:GENTRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, FNP-C
Mailing Address - Street 1:2000 THORPSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-3739
Mailing Address - Country:US
Mailing Address - Phone:919-522-5998
Mailing Address - Fax:
Practice Address - Street 1:2000 THORPSHIRE DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-3739
Practice Address - Country:US
Practice Address - Phone:919-522-5998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-26
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201967363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily