Provider Demographics
NPI:1144457912
Name:RAY, SHERI FAYE (CNP)
Entity type:Individual
Prefix:
First Name:SHERI
Middle Name:FAYE
Last Name:RAY
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:SHERI
Other - Middle Name:F
Other - Last Name:GURMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:433 HIGHLAND PKWY STE 203
Mailing Address - Street 2:
Mailing Address - City:ELLIJAY
Mailing Address - State:GA
Mailing Address - Zip Code:30540-7658
Mailing Address - Country:US
Mailing Address - Phone:770-721-9420
Mailing Address - Fax:706-698-6402
Practice Address - Street 1:433 HIGHLAND PKWY STE 203
Practice Address - Street 2:
Practice Address - City:ELLIJAY
Practice Address - State:GA
Practice Address - Zip Code:30540-7658
Practice Address - Country:US
Practice Address - Phone:770-721-9420
Practice Address - Fax:706-698-6402
Is Sole Proprietor?:No
Enumeration Date:2009-06-18
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9200556363LW0102X
GAGAA-NP001259363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL014627500Medicaid
FLU2838YMedicare PIN