Individual
MS. SHERRY DEE GROGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP
Contact information
Practice address
6140 HIGHWAY 6 STE 75, MISSOURI CITY, TX 77459-3802
(281) 606-0622
Mailing address
7435 HIGHWAY 6 STE C, MISSOURI CITY, TX 77459-5135
(281) 778-8715
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
612230
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689952012
BLUE CROSS BLUE SHIELD
TX
05
—
288747301
—
TX
05
—
288747302
—
TX
01
—
8047NF
BLUE CROSS BLUE SHIELD
TX
01
—
P01363011
RR MEDICARE
TX
Enumeration date
08/03/2011
Last updated
05/17/2022
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