Provider Demographics
NPI:1780486480
Name:REGISTER, SHERRET (CBD, MSN, RN)
Entity type:Individual
Prefix:
First Name:SHERRET
Middle Name:
Last Name:REGISTER
Suffix:
Gender:F
Credentials:CBD, MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 ELMWOOD DR
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36303-5536
Mailing Address - Country:US
Mailing Address - Phone:662-614-4063
Mailing Address - Fax:
Practice Address - Street 1:1909 MONTGOMERY HWY STE 320
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36303-3299
Practice Address - Country:US
Practice Address - Phone:662-614-4063
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-194014163WP1700X
174H00000X, 374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No163WP1700XNursing Service ProvidersRegistered NursePerinatal
No174H00000XOther Service ProvidersHealth Educator