Individual
TERRY T HERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
115 HUSTON DR, SUITE 1, SHEPHERDSVILLE, KY 40165-7250
(502) 955-7311
(502) 955-9694
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3000979
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000350671
ANTHEM - DMA
KY
01
—
000052154A
HUMANA - CMA
KY
01
—
009116
SIHO - CMA
KY
01
—
1130950
PASSPORT - CMA
KY
01
—
1192436
CHA - CMA
KY
01
—
2437655000
PASSPORT ADVANTAGE - NMA
KY
05
—
78001435
—
KY
Enumeration date
04/19/2006
Last updated
03/08/2012
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