Healthcare Provider Details

I. General information

NPI: 1003806357
Provider Name (Legal Business Name): SHERRY DISHONG GUILER RNC ARNP WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2005
Last Update Date: 01/23/2020
Certification Date: 01/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 E. BRANNON RD. STE. 200
NICHOLASVILLE KY
40356
US

IV. Provider business mailing address

1720 NICHOLASVILLE RD STE 702
LEXINGTON KY
40503-1489
US

V. Phone/Fax

Practice location:
  • Phone: 859-264-8811
  • Fax: 859-264-8822
Mailing address:
  • Phone: 859-264-8811
  • Fax: 859-264-8822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number4265P
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number4265P
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: