Provider Demographics
NPI:1285912501
Name:LANKFORD, SHERI (RNFA)
Entity type:Individual
Prefix:
First Name:SHERI
Middle Name:
Last Name:LANKFORD
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 492
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75766-0492
Mailing Address - Country:US
Mailing Address - Phone:903-714-3539
Mailing Address - Fax:
Practice Address - Street 1:1456 COUNTY ROAD 1605
Practice Address - Street 2:
Practice Address - City:RUSK
Practice Address - State:TX
Practice Address - Zip Code:75785-3652
Practice Address - Country:US
Practice Address - Phone:903-714-3539
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-03
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX692686163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant