Healthcare Provider Details

I. General information

NPI: 1326855339
Provider Name (Legal Business Name): SHERRY ANN WATSON CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2024
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3020 N MCCORD RD STE 200
TOLEDO OH
43615-1701
US

IV. Provider business mailing address

6962 QUEENSMARK LN
WHITEHOUSE OH
43571-9196
US

V. Phone/Fax

Practice location:
  • Phone: 419-843-3349
  • Fax:
Mailing address:
  • Phone: 419-344-1347
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.0038494
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163WR0400X
TaxonomyRehabilitation Registered Nurse
License NumberRN199218
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: