Provider Demographics
NPI:1134922040
Name:JOHNSTON, SHERRI MUSGROVE (RN)
Entity type:Individual
Prefix:
First Name:SHERRI
Middle Name:MUSGROVE
Last Name:JOHNSTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SHERRI
Other - Middle Name:M
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4622 WINDSTARR DR
Mailing Address - Street 2:
Mailing Address - City:DESTIN
Mailing Address - State:FL
Mailing Address - Zip Code:32541-4764
Mailing Address - Country:US
Mailing Address - Phone:850-737-0271
Mailing Address - Fax:
Practice Address - Street 1:4622 WINDSTARR DR
Practice Address - Street 2:
Practice Address - City:DESTIN
Practice Address - State:FL
Practice Address - Zip Code:32541-4764
Practice Address - Country:US
Practice Address - Phone:850-737-0271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN077296163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty