Provider Demographics
NPI:1437955739
Name:COLEMAN, SHERRY (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48144 ROBERTSON RD
Mailing Address - Street 2:
Mailing Address - City:TICKFAW
Mailing Address - State:LA
Mailing Address - Zip Code:70466-4612
Mailing Address - Country:US
Mailing Address - Phone:985-969-3611
Mailing Address - Fax:
Practice Address - Street 1:48144 ROBERTSON RD
Practice Address - Street 2:
Practice Address - City:TICKFAW
Practice Address - State:LA
Practice Address - Zip Code:70466-4612
Practice Address - Country:US
Practice Address - Phone:985-969-3611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA239860363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health