Sherry Lavonne Tullock , RNFA
Physician Assistant - Surgical • Phoenix, AZ
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Sherry Tullock has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Sherry Tullock, RNFA was a registered Physician Assistant - Surgical practicing in Phoenix, AZ. Throughout an active medical career spanning 18 years, Sherry Tullock provided care at the practice location at 250 E DUNLAP AVE until profile deactivation on 2025-01-30.
Practice Location & Contact Primary Location
250 E Dunlap Ave
Phoenix, AZ 850202825
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant - Surgical in Phoenix, AZ
Practicing in Phoenix, AZ (431 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 363AS0400X
Definition to come...
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physical Therapist
Physical Therapist
Emergency Medicine
Doctor of Osteopathic Medicine (D.O.)
Nurse Practitioner - Adult Health
Adult Nurse Practitioner
Speech-Language Pathologist
Doctor of Philosophy (Ph.D.), Speech-Language Pathologist (Certificate of Clinical Competence)
Speech-Language Pathologist
Speech-Language Pathologist (Certificate of Clinical Competence)
Nurse Practitioner - Family
Family Nurse Practitioner (Certified)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 30, 2025
NPI status registered as active in NPPES database
Registered at 250 E DUNLAP AVE, PHOENIX, AZ 850202825 (Tel: 6028706060)
Registered at 1730 W PALOS VERDES DR, WICKENBURG, AZ 853903607 (Tel: 6028647028)
Recorded as SHERRY TULLOCK, RNFA
Physician Assistant (License #RN026453 in AZ)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1730 W Palos Verdes Dr
Wickenburg, AZ 853903607
Phone: 6028647028
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