Healthcare Provider Details

I. General information

NPI: 1306154893
Provider Name (Legal Business Name): SHERRY L GRIEPENSTROH NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHERRY L RANSOM

II. Dates (important events)

Enumeration Date: 09/17/2010
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1043 DORBETT ST
JASPER IN
47546-2619
US

IV. Provider business mailing address

1043 DORBETT ST
JASPER IN
47546-2619
US

V. Phone/Fax

Practice location:
  • Phone: 812-580-9285
  • Fax: 812-269-1756
Mailing address:
  • Phone: 812-580-9285
  • Fax: 812-269-1756

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number3007818
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71003409A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: