Provider Demographics
NPI:1669256178
Name:WHERRY, CHERYL L (APRN, AGACNP-BC)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:L
Last Name:WHERRY
Suffix:
Gender:
Credentials:APRN, AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5841 LIMESTONE LN
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-2074
Mailing Address - Country:US
Mailing Address - Phone:817-729-8401
Mailing Address - Fax:
Practice Address - Street 1:350 MATLOCK RD STE 201
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-6889
Practice Address - Country:US
Practice Address - Phone:817-539-9091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-24
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1133362363L00000X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner