Provider Demographics
NPI:1952037608
Name:SHERRON, DEBBY ANN (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:DEBBY
Middle Name:ANN
Last Name:SHERRON
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 S DIXON RD
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46902-6406
Mailing Address - Country:US
Mailing Address - Phone:765-455-4443
Mailing Address - Fax:765-865-8791
Practice Address - Street 1:2200 S DIXON RD
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46902-6406
Practice Address - Country:US
Practice Address - Phone:765-455-4443
Practice Address - Fax:765-865-8791
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-26
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28138083A364SL0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SL0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistLong-Term Care