Provider Demographics
NPI:1417346818
Name:PLUMMER, SHERRY (RN, MSN, CSCM)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:
Last Name:PLUMMER
Suffix:
Gender:F
Credentials:RN, MSN, CSCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13831 NORTHWEST FWY
Mailing Address - Street 2:SUITE 420
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-5200
Mailing Address - Country:US
Mailing Address - Phone:713-352-7717
Mailing Address - Fax:
Practice Address - Street 1:13831 NORTHWEST FWY
Practice Address - Street 2:SUITE 420
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-5200
Practice Address - Country:US
Practice Address - Phone:713-352-7717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-22
Last Update Date:2015-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX655698163WA2000X
376K00000X, 374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No376K00000XNursing Service Related ProvidersNurse's Aide