Provider Demographics
NPI:1285023325
Name:HUGHES, SHERRY (LPN)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4328 DRESSLER RD NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-2752
Mailing Address - Country:US
Mailing Address - Phone:330-433-1300
Mailing Address - Fax:330-494-0828
Practice Address - Street 1:4328 DRESSLER RD NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-2752
Practice Address - Country:US
Practice Address - Phone:330-433-1300
Practice Address - Fax:330-494-0828
Is Sole Proprietor?:No
Enumeration Date:2015-01-13
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN059099 MEDS164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse