Provider Demographics
NPI:1215107826
Name:THOMAS, SHERRI BERNIECE (DO)
Entity type:Individual
Prefix:DR
First Name:SHERRI
Middle Name:BERNIECE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:SHERRI
Other - Middle Name:BERNIECE
Other - Last Name:STACEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:5601 UNION HILL RD STE 1
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-6755
Mailing Address - Country:US
Mailing Address - Phone:480-720-1186
Mailing Address - Fax:
Practice Address - Street 1:5601 UNION HILL RD STE 1
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-6755
Practice Address - Country:US
Practice Address - Phone:480-720-1186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-11
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVSL0532207R00000X
AZR70145207R00000X
NE1139207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine