Provider Demographics
NPI:1588081632
Name:COPLEY, SHERI L (RN)
Entity type:Individual
Prefix:
First Name:SHERI
Middle Name:L
Last Name:COPLEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SHERI
Other - Middle Name:L
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:7400 BERKSHIRE RD
Mailing Address - Street 2:
Mailing Address - City:SUNBURY
Mailing Address - State:OH
Mailing Address - Zip Code:43074-8597
Mailing Address - Country:US
Mailing Address - Phone:614-832-3988
Mailing Address - Fax:
Practice Address - Street 1:7400 BERKSHIRE RD
Practice Address - Street 2:
Practice Address - City:SUNBURY
Practice Address - State:OH
Practice Address - Zip Code:43074-8597
Practice Address - Country:US
Practice Address - Phone:614-832-3988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-26
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN392766163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse