Provider Demographics
NPI:1326855339
Name:WATSON, SHERRY ANN (CNP)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:ANN
Last Name:WATSON
Suffix:
Gender:
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6962 QUEENSMARK LN
Mailing Address - Street 2:
Mailing Address - City:WHITEHOUSE
Mailing Address - State:OH
Mailing Address - Zip Code:43571-9196
Mailing Address - Country:US
Mailing Address - Phone:419-344-1347
Mailing Address - Fax:
Practice Address - Street 1:3020 N MCCORD RD STE 200
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-1701
Practice Address - Country:US
Practice Address - Phone:419-843-3349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-12
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN199218163WR0400X
OHAPRN.CNP.0038494363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WR0400XNursing Service ProvidersRegistered NurseRehabilitation