Provider Demographics
NPI:1336482371
Name:MAGNESS, SHERRY (HMC)
Entity Type:Individual
Prefix:MS
First Name:SHERRY
Middle Name:
Last Name:MAGNESS
Suffix:
Gender:F
Credentials:HMC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8595 COLLEGE PKWY
Mailing Address - Street 2:SUITE 350
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33919-5191
Mailing Address - Country:US
Mailing Address - Phone:239-770-7711
Mailing Address - Fax:239-542-0600
Practice Address - Street 1:8595 COLLEGE PKWY
Practice Address - Street 2:SUITE 350
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-5191
Practice Address - Country:US
Practice Address - Phone:239-770-7711
Practice Address - Fax:239-542-0600
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-28
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL232197251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care