Provider Demographics
NPI:1265673834
Name:REEVES, SHERRY EVONNE (RN)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:EVONNE
Last Name:REEVES
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 1:1079 WOODRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-6909
Mailing Address - Country:US
Mailing Address - Phone:972-937-1418
Mailing Address - Fax:
Practice Address - Street 1:1079 WOODRIDGE RD
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-6909
Practice Address - Country:US
Practice Address - Phone:972-937-1418
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-11
Last Update Date:2009-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX234011163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse