Individual
SHERRY LYNN MCNEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
1296 N GARDNER ST, SCOTTSBURG, IN 47170-1400
(812) 752-8455
(812) 752-6023
Mailing address
1296 N GARDNER ST, SCOTTSBURG, IN 47170-1400
(812) 752-8455
(812) 752-6023
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27046340A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174956262
—
IN
05
—
1609857259
—
IN
Enumeration date
08/14/2020
Last updated
08/14/2020
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