Provider Demographics
NPI:1891679361
Name:ALLEN, SHERI NICOLE
Entity type:Individual
Prefix:
First Name:SHERI
Middle Name:NICOLE
Last Name:ALLEN
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:SHERI
Other - Middle Name:NICOLE
Other - Last Name:RUSHING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:198 VERA LN
Mailing Address - Street 2:
Mailing Address - City:REGISTER
Mailing Address - State:GA
Mailing Address - Zip Code:30452-4061
Mailing Address - Country:US
Mailing Address - Phone:912-536-4017
Mailing Address - Fax:
Practice Address - Street 1:198 VERA LN
Practice Address - Street 2:
Practice Address - City:REGISTER
Practice Address - State:GA
Practice Address - Zip Code:30452-4061
Practice Address - Country:US
Practice Address - Phone:912-536-4017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN288081363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily