SHER LYNN FOMBY


Address: 1000 Pine St, Texarkana, TX 75501-5100
Phone: 9037988924

SHER LYNN FOMBY (NPI# 1821616343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821616343
Entity Type Individual
Full Name SHER LYNN FOMBY
Credential NP-C
Practice Address 1000 Pine St
Texarkana
TX 75501-5100
Practice Telephone 9037988924
Practice Fax Number 9037988042
Mailing Telephone 9037988924
Mailing Fax Number 9037988042
Enumeration Date 2020-07-10
Last Update Date 2020-07-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LF0000X Nurse Practitioner
Specialization: Family
124238 AR Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP139950 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1000 PINE ST
City TEXARKANA
State TX
Zip Code 75501-5100

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649275496 David Lee Carlisle Specialist 1000 Pine St, Texarkana, TX 75501-5100 2005-06-17
1609401959 Zachary Heath Jones Registered Nurse 1000 Pine St, Texarkana, TX 75501-5100 2020-03-06
1528535143 Johanna Morgan Hensley Registered Nurse 1000 Pine St, Texarkana, TX 75501-5100 2018-11-01
1205388212 Cristi Anthony Hicks Nurse Practitioner 1000 Pine St, Texarkana, TX 75501-5100 2016-10-26
1861872467 Karen Denise Marks Social Worker 1000 Pine St, Texarkana, TX 75501-5100 2015-06-09
1942601547 Pam Squared At Texarkana, LLC Long Term Care Hospital 1000 Pine St, 6th Floor, Texarkana, TX 75501-5100 2014-09-15
1962819664 Crystal Lites Speede Nurse Practitioner 1000 Pine St, Er, Texarkana, TX 75501-5100 2014-07-15
1295154284 Rodney Lagrone Jr. Anesthesiology 1000 Pine St, Texarkana, TX 75501 2014-04-07
1700211737 Twice Nice Anesthesia Associates, Pllc Nurse Anesthetist, Certified Registered 1000 Pine St, Texarkana, TX 75501-5100 2013-09-10
1891057618 Cep America LLC Family Medicine 1000 Pine St, Texarkana, TX 75501-5100 2012-06-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598227951 Shayla Lasonde Williams Licensed Vocational Nurse 409 Tracey Ave, Wake Village, TX 75501 2019-04-04
1861900904 Tiffany Anne Baugus Nurse Practitioner 2600 St. Michael Drive, Texarkana, TX 75501 2018-01-10
1104363258 Brent Willis Nurse Anesthetist, Certified Registered 203 La Grange Dr., Texarkana, TX 75501 2017-01-27
1154627644 Patricia Maree Baker Counselor 1001 Texas Blvd., Suite 106, Texarkana, TX 75501 2011-02-01
1730323452 William Leonard Occupational Therapy Assistant 2108 5th Street, Bridgeport, TX 75501 2009-04-24
1700071552 Roger House Md, Psychiatric Services Case Management 2401 Summerhill Rd., Suite A, Texarkana, TX 75501 2007-09-13
1134248271 Brent Bultemeier Pa Chiropractor 3207 New Boston Road, Texarkana, TX 75501 2007-03-28
1346395977 Sharon E. Moore Registered Nurse Youree Drive, Shreveport, LA 75501 2007-01-24
1962553024 Leary Independent School District Local Education Agency (LEA) 9500 W. New Boston Rd, Texarkana, TX 75501 2007-01-16
1780787390 Christina Michelle Griffin Physical Therapist 1315 Walnut, Temple Memorial Rehabiliation Ctr, Texarkana, TX 75501 2006-09-07
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548870892 Melissa Michelle Wilson Nurse Practitioner 2602 Saint Michael Dr Ste 302a, Texarkana, TX 75503-2387 2020-08-02
1558919365 Angela Michelle Savell Nurse Practitioner 4192 Satterfield Ln, Texarkana, AR 71854-0552 2019-08-27
1770041691 Genova L Hansen Nurse Practitioner 95 Dyke Thomas Rd, Texarkana, TX 75501-2104 2019-03-10
1366935066 Samantha Lee Harris Nurse Practitioner 4116 Mcknight Rd, Texarkana, TX 75503 2018-06-07
1730678483 Julie Sloan Henderson Nurse Practitioner 876 Cummings Ln, Texarkana, TX 75501-2194 2018-05-08
1083116198 Amanda Michelle Ross Nurse Practitioner 3725 Mall Ln, Texarkana, TX 75501-2658 2018-03-05
1861900904 Tiffany Anne Baugus Nurse Practitioner 2600 St. Michael Drive, Texarkana, TX 75501 2018-01-10
1326555616 Mandilyn Kay Cottingham Nurse Practitioner 391 Private Road 1223, Texarkana, AR 71854-1459 2018-01-08
1811416910 Heather Alison Gerber Nurse Practitioner 5903 Brenda Street, Texarkana, TX 75503 2017-09-11
1003331356 Virginia Ann Parker Nurse Practitioner 1004 Ele St, Texarkana, TX 75501-3018 2017-08-08
Find all providers in TEXARKANA

Competitor

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City TEXARKANA
Zip Code 75501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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