Provider Demographics
NPI:1073256624
Name:AUSBUN, SHERRI COLEMAN (RN)
Entity Type:Individual
Prefix:MRS
First Name:SHERRI
Middle Name:COLEMAN
Last Name:AUSBUN
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 1:486 DENVER LN
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-4313
Mailing Address - Country:US
Mailing Address - Phone:205-527-5770
Mailing Address - Fax:
Practice Address - Street 1:3288 EAGLE VIEW LN STE 300
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-9019
Practice Address - Country:US
Practice Address - Phone:859-254-5665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-20
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1152681163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARN219905OtherGEORGIA BOARD OF NURSING
KY1152681OtherKENTUCKY BOARD OF NURSING