MEDICARE: MRS. SHERRY ANN SMITH JR. R.N.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH0200X	Home Health Registered Nurse	RN. 162265	OH
2	163WI0500X	Infusion Therapy Registered Nurse	RN. 162265	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861560260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHERRY ANN SMITH JR. R.N.

Provider Business Mailing Address
First Line	:	3443 COUNTY ROAD 20
Second Line	:
City	:	CARDINGTON
State	:	OH
Zip	:	43315-9366
Country	:	US
Telephone Number	:	419-946-1798
Fax Number	:	419-946-1798

Provider Business Practice Location Address
First Line	:	362 W HIGH ST
Second Line	:
City	:	MOUNT GILEAD
State	:	OH
Zip	:	43338-1004
Country	:	US
Telephone Number	:	419-688-1137
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2006
Last Update Date	:	05/17/2026

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