Provider Demographics
NPI:1790546646
Name:SHERROW, EMMA SUE (RN)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:SUE
Last Name:SHERROW
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 1:2045 JOSHUA LOOP
Mailing Address - Street 2:
Mailing Address - City:DYERSBURG
Mailing Address - State:TN
Mailing Address - Zip Code:38024-3992
Mailing Address - Country:US
Mailing Address - Phone:636-232-7213
Mailing Address - Fax:
Practice Address - Street 1:1067 VENDALL RD
Practice Address - Street 2:
Practice Address - City:DYERSBURG
Practice Address - State:TN
Practice Address - Zip Code:38024-1622
Practice Address - Country:US
Practice Address - Phone:731-287-7289
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-18
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN265099163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse