Provider Demographics
NPI:1245578707
Name:RICORD, SHERI ANN (FNP)
Entity Type:Individual
Prefix:MRS
First Name:SHERI
Middle Name:ANN
Last Name:RICORD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MISS
Other - First Name:SHERI
Other - Middle Name:ANN
Other - Last Name:JANKOSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:15920 PENNOCK LN
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124
Mailing Address - Country:US
Mailing Address - Phone:952-967-7250
Mailing Address - Fax:
Practice Address - Street 1:15920 PENNOCK LANE
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124
Practice Address - Country:US
Practice Address - Phone:952-967-7250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-17
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR164172-7363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily