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Individual
SHERRY LYNN RUSSELL
Active
Individual
SHERRY LYNN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.12484
OH
363LF0000X
Family Nurse Practitioner
Primary
COA.12484-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000440444
OH MEDICAID UNISON
OH
05
—
0052337
—
OH
05
—
0200820
—
OH
05
—
3810021001
—
WV
Enumeration date
07/29/2011
Last updated
07/29/2026
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