Healthcare Provider Details

I. General information

NPI: 1437729324
Provider Name (Legal Business Name): CHRISTINA R SHERROD APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINA JORDAN

II. Dates (important events)

Enumeration Date: 07/01/2021
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 CHESAPEAKE PLZ
CHESAPEAKE OH
45619-1003
US

IV. Provider business mailing address

752 WAYCROSS RD STE 3
CINCINNATI OH
45240-3170
US

V. Phone/Fax

Practice location:
  • Phone: 513-836-8230
  • Fax:
Mailing address:
  • Phone: 513-493-2600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0029056
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0029056
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3017536
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: