Healthcare Provider Details

I. General information

NPI: 1811897556
Provider Name (Legal Business Name): SHERRI LAVON BISHOP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2026
Last Update Date: 11/06/2026
Certification Date: 11/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 N CABLE RD
LIMA OH
45805-2132
US

IV. Provider business mailing address

503 N CABLE RD
LIMA OH
45805-2132
US

V. Phone/Fax

Practice location:
  • Phone: 419-996-3150
  • Fax: 419-996-3151
Mailing address:
  • Phone: 419-996-3177
  • Fax: 419-996-3151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN.274238
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: