Individual
SHERRY ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11332 NS 3500 RD, SHAWNEE, OK 74804-1554
(405) 380-8011
Mailing address
11332 NS 3500 RD, SHAWNEE, OK 74804-1554
(405) 380-8011
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0050406
OK
Other
Enumeration date
05/29/2026
Last updated
05/29/2026
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