Provider Demographics
NPI:1942818208
Name:HILL, SHERRY LYNN (CNA)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:LYNN
Last Name:HILL
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2116 HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42001-3137
Mailing Address - Country:US
Mailing Address - Phone:270-243-2741
Mailing Address - Fax:
Practice Address - Street 1:2116 HARRISON ST
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42001-3137
Practice Address - Country:US
Practice Address - Phone:270-243-2741
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-22
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide