Healthcare Provider Details

I. General information

NPI: 1578059820
Provider Name (Legal Business Name): KATHERINE SHERLOCK NNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2018
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 MATLOCK RD
ARLINGTON TX
76015-2908
US

IV. Provider business mailing address

2101 KINGSBURY RD
MANSFIELD TX
76063-5325
US

V. Phone/Fax

Practice location:
  • Phone: 817-472-4898
  • Fax:
Mailing address:
  • Phone: 817-881-1221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberAP137916
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: