Provider Demographics
NPI:1417573734
Name:MCLASKEY, SCHERRIE LYNN (FNP-C)
Entity type:Individual
Prefix:
First Name:SCHERRIE
Middle Name:LYNN
Last Name:MCLASKEY
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 ANDREW DR
Mailing Address - Street 2:
Mailing Address - City:CENTRALIA
Mailing Address - State:IL
Mailing Address - Zip Code:62801-6288
Mailing Address - Country:US
Mailing Address - Phone:618-204-8003
Mailing Address - Fax:
Practice Address - Street 1:4119 S WATER TOWER PL STE A
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:IL
Practice Address - Zip Code:62864-6293
Practice Address - Country:US
Practice Address - Phone:618-816-6006
Practice Address - Fax:618-816-6005
Is Sole Proprietor?:No
Enumeration Date:2020-06-23
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209021515363LF0000X
IL041.343075163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse