Individual
MS. SHERRA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
510 SPRING ST, JEFFERSONVILLE, IN 47130-3554
(812) 282-1888
(812) 218-9318
Mailing address
510 SPRING ST, JEFFERSONVILLE, IN 47130-3554
(812) 282-1888
(812) 218-9318
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3003016
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3016P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000704589
ANTHEM #
—
01
—
1063415297
PV GROUP MD NPI
—
01
—
1487872636
ARNP NPI GROUP #
—
05
—
7100155400
—
KY
01
—
CK2274
RR MEDICARE GROUP NUMBER
KY
01
—
P00931912
RR MEDICARE
KY
Enumeration date
05/16/2006
Last updated
12/09/2011
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