Provider Demographics
NPI:1871693655
Name:SPILLERS, SHERRY ANN (RN)
Entity type:Individual
Prefix:MS
First Name:SHERRY
Middle Name:ANN
Last Name:SPILLERS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5899 HWY 143
Mailing Address - Street 2:
Mailing Address - City:STERLINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:71280
Mailing Address - Country:US
Mailing Address - Phone:318-362-5189
Mailing Address - Fax:318-362-5428
Practice Address - Street 1:4781 SOUTH GRAND ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71202
Practice Address - Country:US
Practice Address - Phone:318-362-5189
Practice Address - Fax:318-362-5428
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA045358163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)